Attachment F - Patent Certification AMS Form 032 Rev 1 dated 71917.pdf
PDF 67 KB Posted
- Attached to
- HSR BPM Cryo-Cable Assembly
- Solicitation number
- 438478
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Patent Certification form (AMS Form 032 Rev 1) required for a federal contract. The key details are:
The contractor is providing an interim or final certification that they have followed the required procedures for identifying and disclosing any subject inventions under the contract. They indicate whether any subcontracts or purchase orders were involved, and whether any inventions or discoveries were made under the contract. The contractor provides the contract completion date and the certification period. The contractor must sign and provide their address on the form.
This Patent Certification form is associated with the HSR BPM Cryo-Cable Assembly solicitation (Solicitation Number 438478) issued by the Department of Energy Office of Science. The solicitation is for the procurement of cable assemblies that will be installed in the Hadron Storage Ring of the Electron-Ion Collider facility.
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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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