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

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.