10. Enclosure 4, AMS-Form-001 Subcontracting Plan Waiver.pdf
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- Attached to
- RFP 462624 - Power Control & Regulating System for AGS Motor Generator Set (Cycloconverter)
- Solicitation number
- 462624
- Issued by
-
Department of Energy Office of Science
About this file
This is a Subcontracting Plan Waiver form (AMS-Form-001, Revision 6) from Brookhaven National Laboratory's Procurement and Property Management Division, approved by PPM Manager Paul Pierson on November 14, 2023.
The form documents an exemption from Small Business Subcontracting Plan requirements under Public Law 95-507 for a proposed contract or modification exceeding the statutory thresholds ($900,000 for negotiated contracts or $2,000,000 for construction of public facilities). The contractor certifies exemption based on one of two grounds: either the contract work will be performed entirely outside the United States, its territories, and Puerto Rico, or no subcontracting will be conducted under the contract. The form requires the contractor to provide certification of the exemption claim, followed by validation by the buyer/contract specialist/manager and approval by the Small Business Liaison Administrator. The document is a template with blank fields for contract number, dollar amounts, modification details, scope of work, and contractor/approver signatures and dates.
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Text version
Date Printed 1/5/2026 1 of 1 Date Approve 11/14/2023
PROCUREMENT AND PROPERTY MANAGEMENT DIVISION
BROOKHAVEN NATIONAL LABORATORY
Managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy
ACQUISITION MANAGEMENT SYSTEM FORM
Form No. AMS-Form-001
Revision No. 6
APPROVED BY:
Paul Pierson 11/14/2023
PPM Manager/Date
Subcontracting Plan Waiver
Public Law 95-507 requires that all negotiated contracts in excess of $900,000 or contracts for the construction of a public facility in excess of $2,000,000, and any single action Modification, Task, or Change Order over those thresholds, have an approved Small Business Subcontracting Plan. The work covered by this Subcontracting Plan Waiver for proposed Contract No. is with in the total amount of $ AND/OR Modification, Task, or Change Order No. in the increased amount of $ . The scope of work covers .
The proposed Contractor has certified that they are exempt from submission of the Small Business Subcontracting Plan for the following reasons:
( ) The contract including all subcontracts there under will be performed entirely outside of the United States, its possessions or territories, the District of Columbia, and the Commonwealth of Puerto Rico.
( ) The Contractor has certified that subcontracting will not be conducted under this contract. Contractors’ reasons for no subcontracting opportunities required:
I hereby certify that the above statement is true, to the best of my knowledge.
Certification:
Contractor
Date:
0BDETERMINATION
On the basis of the above findings and pursuant to P.L. 95-507, I hereby determine that the Small Business Subcontracting Plan is not applicable to this procurement.
Validated:
Buyer / Contract Specialist / Manager
Approved:
Small Business Liaison Administrator
DETERMINATION
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