5) Final Property Certification (1-31-25).docx

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Attached to
M1/M3 Flexure Systems and Vacuum Chambers
Solicitation number
MG-11032025
Issued by

About this file

The document is a Final Property Certification form for a subcontract with Lawrence Berkeley National Laboratory (LBNL). The form requires detailed documentation of all University-Furnished Government Property and Subcontractor Acquired Property at the conclusion of a subcontract. Key sections include inventory tracking of property with details such as acquisition value, description, model/serial numbers, current location, and status (delivered, transferred, or not delivered). The form must be completed by the Subcontractor and requires signatures from both the Subcontractor Representative and LBNL Property Management to certify the accuracy of the property disposition information.

This property certification is related to Solicitation No. MG-11032025 for M1/M3 Flexure Systems and Vacuum Chambers, issued by the Department of Energy through LBNL. The solicitation timeline includes a RFP release on November 3, 2025, a pre-proposal conference on November 21, 2025, offeror questions due by December 2, 2025, and proposals due by December 16, 2025. Prospective suppliers are requested to acknowledge receipt and indicate proposal submission intent by November 10, 2025. The RFP package includes multiple documents such as proposal instructions, sample subcontract, statement of work, general provisions, and various attachments.

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Text version

Final Property Certification This form shall be completed by the Subcontractor upon completion of the subcontract.

Subcontract No.:
Subcontractor:

The final disposition of all property furnished by the University or acquired or provided by you, the Subcontractor, for which the Government takes title, under the above-referenced subcontract must be determined. If additional space is needed, please attach additional sheets. All fields below must be completed to be accepted. Forms submitted with missing information will be returned for completion. Final acceptance of this form as complete is determined by the LBNL Property Management department, as represented by their signature at the bottom of the form.

Property Inventory

The following is a complete list of all University-Furnished Government Property and Subcontractor Acquired Property under the above-referenced Subcontract, including property under lower-tier subcontracts.

Acquisition Value
Description
Model Number

(If applicable) Serial Number (if applicable

DOE Property No.
Location

Current Status of Government Furnished Property or Subcontractor Acquired Property

|_|All University-Furnished Government Property and Subcontractor Acquired Property under the Subcontract have been delivered to LBNL:
Date Delivered:
Shipped to Whom:
Identify (and attach) the Shipping Documentation/Tracking information:

|_| All University-Furnished Government Property and Subcontractor Acquired Property identified in the Subcontract have delivered to LBNL, except the following (i.e., identify the items that have not been delivered):

Acquisition Value
Description
Model Number

(If applicable) Serial Number (if applicable

DOE Property No.
Location

|_| The following University-Furnished Government Property and Subcontractor Acquired Property identified in the Subcontract have been transferred to another subcontract at the direction of the University:

Acquisition Value
Description
Model Number

(If applicable) Serial Number (if applicable

DOE Property No.
Transferred to Subcontract Number or Entity

Fabricated Deliverables

|_| The following is a complete list of all items fabricated by the Subcontractor that are deliverables to LBNL under the subcontract.

Value
Description
Principal Investigator
Current Location

Subcontractor Representative:

I hereby certify that the above information is true and accurate to the best of my knowledge and belief:

Date: Signature:

Telephone Number: Type/Print Name:

LBNL Property Management:

I hereby concur with the accuracy of the above information to the best of my knowledge and belief:

Date: Signature:

Telephone Number: Type/Print Name:

Final Property Certification (01/31/25) image1.png

File details come from the government source that posted it. Updated .