D. Vendor ACH Athorization Form - For information only.pdf

PDF 114 KB Posted

Attached to
Metal Cabinets
Solicitation number
IO463222
Issued by

About this file

The document is a Vendor ACH Authorization Form for Brookhaven National Laboratory, managed by Brookhaven Science Associates, LLC under contract with the U.S. Department of Energy. The form is designed to capture vendor banking information to enable electronic payments through the Automated Clearing House (ACH) system. It requires vendors to provide their company details, including vendor/company name, vendor number, and tax ID number, as well as depository information such as financial institution, routing/transit number, and checking account number. The form includes an authorization section where the vendor's authorized representative can approve the ACH payment method, with the understanding that the authorization remains in effect until written notification is provided to terminate or modify it.

This form is specifically associated with a federal contract opportunity (Solicitation Number IO463222) for Metal Cabinets, which involves procuring 14 heavy-duty metal storage cabinets (36" W x 18" D x 72"H) from manufacturers like Grainger or Durham. Interested vendors are instructed to submit a detailed quote and complete the quotation pricing sheet to the email address iorlando@bnl.gov. The solicitation is issued by the Department of Energy Office of Science, highlighting the administrative documentation required for potential contract vendors.

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Text version

Managed by Brookhaven Science Associates, LLC under contract with the

U.S. Department of Energy

Vendor ACH Authorization Form

VENDOR INFORMATION

Vendor/Company Name or DBA:

Vendor Number (if Applicable):

Tax ID Number (TIN):

DEPOSITORY INFORMATION

Financial Institution:

Routing/Transit/ABA Number:

Checking Account Number:

AUTHORIZATION

I (we) hereby authorize Brookhaven National Laboratory/Brookhaven Science Associates to make payments by initiating ACH (Automated Clearing House) credit entries or correcting entries to the account indicated above and associated with the financial institution named above. This authorization will remain in effect until BNL/BSA receives written notification to terminate or modify the same. It is my (our) understanding that credit authorizations may be revoked only by notification of the originator as described by NACHA (National Automated Clearing House Association) law.

Authorized Representative:

Email:

Phone:

Signature: Date:

VendorCompany Name or DBA:
Vendor Number if Applicable:
Tax ID Number TIN:
Financial Institution:
RoutingTransitABA Number:
Checking Account Number:
Authorized Representative:
Email:
Phone:
Date:

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