7. Attachment E - Patent Certification.pdf
PDF 67 KB Posted
- Attached to
- EIC 591 MHz RF Amplifiers Systems
- Solicitation number
- 421909
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Patent Certification form for a federal contract. It requires the contractor to certify that they have followed the required procedures for identifying and disclosing any subject inventions made under the contract, and to list any such inventions or indicate that there were none. The contractor must also identify any relevant subcontracts or purchase orders, and provide the contract completion date and the period covered by the certification. This form is related to the federal contract opportunity for "EIC 591 MHz RF Amplifiers Systems", a Request for Proposal issued by the Department of Energy's Office of Science for two 200kW and two 400kW RF amplifier systems.
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Text version
Date Printed 1/27/2023 1 of 1 Date Approved 07/19/17
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-032
Revision No. 1.0
APPROVED BY:
Anthony Guadagni / 7/19/17
PPM Manager/Date
Patent Certification
Contractor: Interim Certification
Contract Number: Final Certification
Contractor hereby certifies that :
1. All procedures for identifying and disclosing subject inventions as required by the patent clause of the contract have been followed thought the reporting period.
2. There were no subcontracts or purchase orders involving research, development, and demonstration except as follows:
3. No inventions or discoveries were made or conceived in the course of or under this contract other than the following (Certification includes , does not include all subcontracts):
TITLE INVENTOR DATE REPORTED DOE “S” NO.
4. The completion date of this contract is as follows:
5. The following period is covered by this certification:
To
Month Day Year Month Day Year
Contractor Signature
Title
Address Date of Certification
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