8. Enclosure (4) AMS-Form-001.docx

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RFQ 480758 - 100MHz RF Power Amplifier System (Revised)
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480758Revised
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This is a Subcontracting Plan Waiver form (AMS-Form-001) used by Brookhaven National Laboratory's Procurement and Property Management Division to document exemptions from Small Business subcontracting plan requirements under Public Law 95-507. The form applies to negotiated contracts exceeding $750,000 (or $1,500,000 for construction of public facilities) and any single action modification, task, or change order surpassing those thresholds. The waiver permits contractors to certify exemption from subcontracting plan submission based on two primary criteria: (1) the contract will be performed entirely outside the United States, its possessions, territories, District of Columbia, and Puerto Rico, or (2) the contractor certifies that no subcontracting will be conducted under the contract. The form requires contractor certification, buyer/contract specialist validation, and approval by the Small Business Liaison Administrator to officially determine that a Small Business Subcontracting Plan is not applicable to the procurement.

This particular waiver form (Revision 6, approved November 14, 2023) is a template document and does not contain filled-in information regarding a specific contract number, dollar amount, or scope of work. The form is administrative in nature and serves as the formal documentation mechanism for processing subcontracting plan exemptions within Brookhaven National Laboratory's acquisition management system.

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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 $750,000 or contracts for the construction of a public facility in excess of $1,500,000, 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:

DETERMINATION

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

Date:

Approved:

Small Business Liaison Administrator

Date:

Date Printed 4/28/2026 1 of 1 Date Approve 11/14/2023

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