Enclosure A Draft PO 398033.pdf

1- 1 Ultrasonic Flow Meter EA10.000 07/19/2021

Schedule Total

ULTRASONIC METR:SS:0.02-5GPM: ½"FNPT:4-20 + NPN:FROM RIGHT

Stainless Steel Housing; Measuring Range: .02 - 5 GPM; ½” Female NPT Connection;

Compact electronic: 4-20 mA Output, Open Collector, NPN; Flow Direction: Right to Left

QA Paragraph(S): 3.1.3

ESH&Q Risk Level: A4 - Negligible

Item Total

2- 1 PLUG:MICRO-DC:FEMALE EA10.000 07/19/2021

Schedule Total

QA Paragraph(S): 3.1.3

PLUG:MICRO-DC:FEMALE: 5 PIN

6 FEET CABLE

ESH&Q Risk Level: A4 - Negligible

Item Total

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000398033 06/11/2021 1

Payment Terms Freight Terms Ship Via Net 30 Destination VNDCARRIER Buyer Phone Currency

MATA,ROSEMARY 631/344-3581 USD

Brookhaven National Laboratory Brookhaven National Laboratory Upton NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN NY 11973

Tax Exempt? Y Tax Exempt NYS216880 Replenishment Option: Standard

Line-Sch Item/Description Mfg ID Quantity UOM PO Price Extended Amt Due Date

Bill To: Brookhaven National Lab Fiscal Division Building 400-D PO Box 5000 Upton, NY 11973-5000

Ship To: Brookhaven National Lab Ref PO#: 0000398033 Receiving: Bldg 98 Rochester St Upton, NY 11973

Brookhaven Science Associates (BSA), LLC is placing this Purchase Order under its Prime Contract with the U.S. Department of Energy and is pursuant to the General and/or Supplemental terms and conditions which can be viewed via the internet at: http://www.bnl.gov/ppm/T-Cs/t-c.asp.

Should supplier have any questions and/or not have access to these terms and conditions, contact the buyer or contract specialist immediately.

ENCLOSURE A

DRAFT

****THIS IS A "DRAFT" PO ONLY"****

THIS IS ONLY A SAMPLE PURCHASE ORDER AND IN NO WAY REPRESENTS AN ACTUAL OFFER TO BUY AND SHOULD NOT

BE CONSIDERED A BINDING DOCUMENT.

The provisions of Brookhaven Science Associates, LLC General Terms and Conditions for Commercial Items, Rev. 20.0 (Dec 2020) are incorporated herein and made a part hereof

Reference is made to the Brookhaven National laboratory Supplier Quality Assurance requirements, BNL-QA-101, which is incorporated herein and made a part of the purchase order. In addition to all the General Provisions, the Supplier agrees all material delivered against this purchase order will conform to the Quality Assurance paragraphs indicated in the line description(s).

DO NOT INSURE THE SHIPMENT OR DECLARE VALUE! ***

** SELLER SHALL SHIP ALL PACKAGES TO "RECEIVING BUILDING 98".

*** Please be sure the OUTSIDE LABEL reads "ATTENTION: BNL PURCHASE ORDER# xxxxxx.****

*Electronic invoice submittal is preferred by BSA. Invoices shall be submitted in PDF format, via e-mail, to apinvoices@bnl.gov. If e-mail is not accessible, invoices shall be forwarded to Brookhaven’s Account Payable section, Building No. 400. In addition, the supplier shall indicate the final invoice by clearly marking such invoices as "Final".

**Early delivery is encouraged and appreciated.

****PLEASE CONFIRM RECEIPT OF PURCHASE ORDER TO ROSEMARY MATA****

(PHONE:(631) 344-3581 OR EMAIL: RMATA@BNL.GOV)

NOTE: All shipment must have a packing slip inside and outside, otherwise it will be considered discrepant material.

Total PO Amount

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000398033 06/11/2021 2

Payment Terms Freight Terms Ship Via Net 30 Destination VNDCARRIER Buyer Phone Currency

MATA,ROSEMARY 631/344-3581 USD

Brookhaven National Laboratory Brookhaven National Laboratory Upton NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN NY 11973

Tax Exempt? Y Tax Exempt NYS216880 Replenishment Option: Standard

Line-Sch Item/Description Mfg ID Quantity UOM PO Price Extended Amt Due Date

Bill To: Brookhaven National Lab Fiscal Division Building 400-D PO Box 5000 Upton, NY 11973-5000

Ship To: Brookhaven National Lab Ref PO#: 0000398033 Receiving: Bldg 98 Rochester St Upton, NY 11973

Brookhaven Science Associates (BSA), LLC is placing this Purchase Order under its Prime Contract with the U.S. Department of Energy and is pursuant to the General and/or Supplemental terms and conditions which can be viewed via the internet at: http://www.bnl.gov/ppm/T-Cs/t-c.asp.

Should supplier have any questions and/or not have access to these terms and conditions, contact the buyer or contract specialist immediately.

SPECIAL INSTRUCTIONS:

-This order does not bind or purport to bind the U.S Government or the DOE.

-Prices are firm unless otherwise indicated.

-P.O. Number must appear on all correspondence, invoices, shipping papers and packages.

-Invoices sent anywhere other than to the Fiscal Division, Bldg. 400-D, are not deemed to be officially received for payment term purposes.

-Address all correspondence concerning this order to the above named person.

-Brookhaven National Laboratory FAX No.631-344-5499.

DELIVERY LOCATION AND HOURS:

Deliveries to Brookhaven National Laboratory (BNL) are accepted between the hours of 8:00 am–12:00 pm or 1:00-4:00 pm EST, Monday through Friday. Unless otherwise noted on the Purchase Order/Contract, all deliveries to Brookhaven National Laboratory (BNL) shall be made to building 98 or to the satellite stockrooms in buildings 452, 510, 729, 740 or 918.

Advance Notification of Delivery:

Each shipping container (transport package) with a gross weight equal to or greater than 400 pounds (180 kilograms) or having an offset center of gravity requires special material handling/rigging by BNL personnel. The shipper shall provide a minimum of 3 days advance notice of delivery by contacting BNL Warehouse Operations at

(631) 344-2300 or WarehouseOperations@BNL.gov. The shipper must obtain acknowledgement from BNL Warehouse Operations that delivery notification was received. This applies to any item shipped (originally packaged or repackaged) to BNL or other locations cited in the PO or contract. Failure to contact BNL will result in delays during delivery and any resulting demurrage will be at the shipper's expense. Each shipping container (transport package) having an offset center of gravity shall also have its center of gravity location marked on the packaging for safe material handling purposes.

UNACCEPTABLE PACKING MATERIAL:

Do not use vermiculite as a packaging material inside any shipments to BNL unless required by shipping regulation.

All shipments containing vermiculite must be accompanied by document stating that the vermiculite used is certified asbestos free. This documentation must be affixed to the outside of the package.

A. Vermiculite used as a packaging material in shipments must be determined to be free of asbestos (<1% chrysolite, amosite, crocidolite, tremolite, anthophyllite, and actinolite).

B. Vermiculite is defined in this specification means the hydrous, silicate mineral classified as a Phyllosilicate that has been expanded by heating.

For further shipping instructions, please go to the following link:

https://intranet.bnl.gov/operations/files/pdf/ShippingInstructions.pdf

Authorized by:

Purchase Order Dispatch via E-Mail Purchase Order Date Revision Page

BNL-0000398033 06/11/2021 3

Payment Terms Freight Terms Ship Via Net 30 Destination VNDCARRIER Buyer Phone Currency

MATA,ROSEMARY 631/344-3581 USD

Brookhaven National Laboratory

Upton NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN NY 11973

Tax Exempt? Y Tax Exempt NYS216880 Replenishment Option: Standard

Line-Sch Item/Description Mfg ID Quantity UOM PO Price Extended Amt Due Date

Bill To: Brookhaven National Lab Fiscal Division Building 400-D PO Box 5000 Upton, NY 11973-5000

Ship To: Brookhaven National Lab Ref PO#: 0000398033 Receiving: Bldg 98 Rochester St Upton, NY 11973

Brookhaven Science Associates (BSA), LLC is placing this Purchase Order under its Prime Contract with the U.S. Department of Energy and is pursuant to the General and/or Supplemental terms and conditions which can be viewed via the internet at: http://www.bnl.gov/ppm/T-Cs/t-c.asp.

Should supplier have any questions and/or not have access to these terms and conditions, contact the buyer or contract specialist immediately.

BROOKHAVEN NATIONAL LABORATORY

SUPPLIER QUALITY ASSURANCE REQUIREMENTS

BNL-QA-101

3.0 GENERAL REQUIREMENTS Unless otherwise specified in the procurement documentation, the following General

Requirements apply:

3.1 Supplier's Quality System and Requirements: The Supplier shall have and maintain an effective quality system that will, as a minimum, comply with all of the requirements of the specification designated by the following:

3.1.3 Conformance to Supplier's/Manufacturer's quality program or system.

3.2 Assessment by Buyer: The Supplier's Quality system is subject to assessments by the Buyer's Representative(s) for conformance with the requirements of the PO. Supplier or Distributor shall allow BSA representatives, BSA customers, and regulatory agencies right of entry into Supplier's facitities to determine and verify product, processes, records, personnel, material, procedures, and systems.

3.3 Change Approval: No change(s) shall be made to any Buyer requirements (e.g. part number, model number, etc.)

without the prior written approval of Buyer.

3.4 Responsibility for Subcontractors: It is the responsibility of the Supplier to impose applicable requirements from this document upon their subcontractors. Additionally, the Buyer reserves the right to disapprove, in writing, any subcontractor.

3.5 Responsibility for Conformance: The Supplier is responsible to provide items that conform to the requirements of the PO regardless of any assessments, surveillances, inspections and/or tests by the Buyer or its representatives at either the Supplier's or the Buyer's facility. The Buyer reserves the right to request failure analysis and corrective action for non-conforming articles or items submitted or supplied to the Buyer. The Supplier is responsible for notifying the Buyer of any recalls or alerts associated with this PO.

3.6 Protection of Material and Equipment: The Supplier shall employ procedures that assure adequate protection of material and equipment during shipment and while in storage. Such protection shall include special environmental packaging, as necessary. All items shipped (originally packaged or repackaged) to BNL or other locations cited in the PO or contract, shall comply with the requirements for preservation, packaging and marking as stated in the latest revision of ASTM Standard D 3951 Standard Practice for Commercial Packaging.

3.7 Measuring and Test Equipment (M&TE) Calibration: The Supplier shall calibrate any M&TE used in the fulfillment of the PO requirements against certified standards that are traceable to the National Institute of Standards and Technology (NIST), or some other recognized national or international standard, or physical constant. The Supplier shall notify the Buyer of any condition found during the calibration, servicing or repair of measuring and test equipment that can affect the end item requirements.

Purchase Order Dispatch via E-Mail Purchase Order Date Revision Page

BNL-0000398033 06/11/2021 4

Payment Terms Freight Terms Ship Via Net 30 Destination VNDCARRIER

Upton NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN NY 11973

PO Box 5000 Upton, NY 11973-5000

Ship To: Brookhaven National Lab Ref PO#: 0000398033 Receiving: Bldg 98 Rochester St Upton, NY 11973

Brookhaven Science Associates (BSA), LLC is placing this Purchase Order under its Prime Contract with the U.S. Department of Energy and is pursuant to the General and/or Supplemental terms and conditions which can be viewed via the internet at: http://www.bnl.gov/ppm/T-Cs/t-c.asp.

Should supplier have any questions and/or not have access to these terms and conditions, contact the buyer or contract specialist immediately.

3.8 Suspect Counterfeit Parts: The supplier shall verify the procurement source and associated certifying paperwork. Appropriate incoming inspection test methods shall be used to detect potential counterfeit parts and materials. The supplier shall flow this requirement down to all sub-tier suppliers to prevent the inadvertent use of counterfeit parts and materials. Distributors shall not modify, rework or repair material shipped on this order. For more information refer to the following Department of Energy website:

https://www.energy.gov/ehss/corporate-reporting-analysis/databases/suspectcounterfeit-and-defective-items.

3.9 Electrostatic Discharge Control: Items that are susceptible/ sensitive to electrostatic discharge (ESDS) shall be handled and packaged to protect them from damage. Items and/or packages shall be labeled to indicate the susceptibility to electrostatic discharge.

3.10 Electrical, Fire Protection, or Scaffolding Equipment, Material, and Systems: All electrical, fire protection or scaffolding equipment, material, and systems delivered to BNL shall be certified, listed, or labeled by a Nationally Recognized Testing Laboratory (NRTL). The CE mark is NOT a recognized NRTL certification mark. (For a listing of OSHA-recognized NRTLs, refer to http://www.osha.gov/) For electrical, fire protection, or scaffolding equipment, material, and systems which no NRTL accepts, certifies, lists, labels, or otherwise determined to be safe, the Supplier shall determine the equipment to be safe for its intended use. The determination must be made on the basis of test data. The determination and test data documents shall be made available to BSA prior to or upon delivery for review and acceptance by the applicable BSA Authority Having Jurisdiction (AHJ). In accordance with 29 CFR 1910.147(c)(2)(iii) whenever new machines or equipment are provided with energy isolating devices, those devices shall be designed to accept a lockout device.

3.11 Hoisting and Rigging Equipment: All hoisting and rigging equipment used at BNL shall meet the requirements of the latest applicable OSHA Regulations and ASME B30 Series standards for design, construction, markings, and proof load testing.

3.12 Deleted

3.13 Powered Machine Shop Equipment: All Powered Machine Shop equipment (e.g., Lathe) delivered to BNL shall meet the requirements of the latest applicable OSHA 1910 Regulations (e.g., Part Subpart O). Equipment purchased must include an integrated NFPA 79 compliant emergency stop and anti-restart device.

3.14 Vehicle-Mounted Elevating and Rotating Aerial Devices All vehicle-mounted and rotating aerial devices equipment used at BNL shall meet the requirements of ANSI A92.2.

Purchase Order Dispatch via E-Mail Purchase Order Date Revision Page

BNL-0000398033 06/11/2021 5

Payment Terms Freight Terms Ship Via Net 30 Destination VNDCARRIER

Upton NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN NY 11973

PO Box 5000 Upton, NY 11973-5000

Ship To: Brookhaven National Lab Ref PO#: 0000398033 Receiving: Bldg 98 Rochester St Upton, NY 11973

Brookhaven Science Associates (BSA), LLC is placing this Purchase Order under its Prime Contract with the U.S. Department of Energy and is pursuant to the General and/or Supplemental terms and conditions which can be viewed via the internet at: http://www.bnl.gov/ppm/T-Cs/t-c.asp.

Should supplier have any questions and/or not have access to these terms and conditions, contact the buyer or contract specialist immediately.

3.15 Self-propelled Elevating Work Platform Equipment All self-propelled elevating work platform equipment (e.g., scissor lift) used at BNL shall meet the requirements of ANSI A92.6.

3.16 Manually Propelled Elevating Aerial Platform Equipment All manually propelled elevating aerial platform equipment used at BNL shall meet the requirements of ANSI 92.3.

3.17 Boom Supported Elevating Work Platform Equipment All boom supported elevating work platform equipment used at BNL shall meet the requirements of ANSI

3.18 Powered Industrial Trucks and Attachments: Powered industrial trucks (e.g. forklifts, hi-lows) shall meet the requirements of the ANSI/ITSDF B56 series for design, construction, markings, and test loading. Industrial truck attachments shall be approved by the truck manufacturer and supplied with an attachment data plate indicating the new truck capacities.

3.19 Used Industrial Equipment: For used industrial equipment (e.g. scissor lifts, fork lifts, etc.), A

Certificate of conformance as defined in clause 4.16, must be provided as objective evidence and must additionally state that all maintenance and manufacturing alerts have been screened and all required repairs and improvements have been completed. The supplier shall provide records of the last year of maintenance.

3.20 Global Harmonized System Compliance: The supplier of chemicals shall deliver the chemical in full compliance with the Department of Labor, Occupational Safety & Health Administration (OSHA)'s Globally Harmonized System (GHS) Hazard Communication Standard (29CFR1910.1200), available at:

https://www.osha.gov/dsg/hazcom/HCSFinalRegTxt.html. All hazardous chemicals delivered to BNL shall be accompanied by an GHS Safety Data Sheets (SDS) with the format and content specified in 29CFR1910.1200. For information on the GHS SDS see OSHA Brief- Hazard Communication Standard: Safety Data Sheets Publication 3514 available at: https://www.osha.gov/Publications/OSHA3514.pdf. All hazardous chemicals delivered to BNL after 12/01/2015 shall have a label with the elements specified in 29CFR1910.1200 [product identifier; pictograms;

signal words; hazard statement(s); precautionary statement(s); and manufacturer, importer, or distributor's name, address, and telephone number]. For information on the GHS label, see OSHA Brief- Hazard Communication Standard: Labels and Pictograms Publication 3636 available at: https://www.osha.gov/Publications/OSHA3636.pdf

3.21 Age/Shelf Life and Storage Control:The Supplier shall have an effective storage and age control system for items where acceptability is limited by the age or manner of storage of the item. The system must include a method of identifying the expiration date on the containers in which material is delivered to the Buyer.

Special handling conditions shall be recorded on certifications and shipping documents covering the material delivered to the Buyer. At the time of receipt, the material shall not have less than three-quarters of its shelf life remaining, without prior written approval from the Buyer for each shipment.

3.22 Product Recalls/Product Bulletins/Safety Alerts: Any and all product recall alerts, product bulletins, or safety alerts should be communicated by email directly to ProductRecallAlert@BNL.gov. Provide the Purchase Order Number(s) and names of purchasers with notification to assist BNL in locating and identifying the subject material.

Purchase Order Dispatch via E-Mail Purchase Order Date Revision Page

BNL-0000398033 06/11/2021 6

Payment Terms Freight Terms Ship Via Net 30 Destination VNDCARRIER

Upton NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN NY 11973

PO Box 5000 Upton, NY 11973-5000

Ship To: Brookhaven National Lab Ref PO#: 0000398033 Receiving: Bldg 98 Rochester St Upton, NY 11973

Brookhaven Science Associates (BSA), LLC is placing this Purchase Order under its Prime Contract with the U.S. Department of Energy and is pursuant to the General and/or Supplemental terms and conditions which can be viewed via the internet at: http://www.bnl.gov/ppm/T-Cs/t-c.asp.

Should supplier have any questions and/or not have access to these terms and conditions, contact the buyer or contract specialist immediately.