Attachment F - Patent Certification.pdf
PDF 112 KB Posted
- Attached to
- EIC HSR BPM Button Assembly
- Solicitation number
- 438477
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Patent Certification form for a federal contract opportunity. The key details are:
The contractor is certifying that they have followed all procedures for identifying and disclosing subject inventions as required by the patent clause of Contract Number 438477. There were no subcontracts or purchase orders involving research, development, and demonstration, and no inventions or discoveries were made under this contract. The contract completion date and certification period are provided.
The related federal contract opportunity is for the design and fabrication of the HSR BPM Button Assembly for the Electron-Ion Collider (EIC) project. Brookhaven Science Associates (BSA) will award up to three subcontracts for 35 preproduction components each, with options for up to 1,355 production components per subcontract. BSA will exercise the production option on one of the subcontracts. The solicitation number is 438477, and the contracting agency is the Department of Energy Office of Science.
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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
Interim Certification
Final Certification
Contractor:
Contract Number: 438477
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:
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Month Day Year Month Day Year
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Contractor Signature
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Title
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Address Date of Certification
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