ENCLOSURE A DRAFT PO 476047.pdf

1- 1 9299021M003 EA8.000 03/31/2026

Schedule Total

4UHV Controller, two channel, 200W/channel, BNL firmware installed.

QA Paragraph(S): 3.1.3, 4.43, 4.16

ESH&Q Risk Level: A3 - Minor

Item Total

“This is a Firm Fixed Price Purchase Order (PO). The said sum shall constitute full compensation for all services/items furnished hereunder. The Total PO Amount listed shall not be exceeded without a signed modification/change order.”

TERMS & CONDITIONS:

The provisions of Brookhaven Science Associates, LLC General Terms and Conditions for Commercial Items and Services, Rev. 23.0; (May 2025) are incorporated herein and made a part hereof.

QUALITY ASSURANCE REQUIREMENTS:

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).

PRODUCT RECALLS:

Any and all product recall alerts should be communicated by email directly to ProductRecallAlert@BNL.gov. Provide all available information, such as Purchase Order Number(s), date of order, and names of purchaser with the notification to assist BNL in locating and identifying the subject recall material.

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000476047 02/27/2026 1

Payment Terms Freight Terms Ship Via Net 30 FOB Destination, Frt Prepaid UPS-GROUND Contractual Representative Phone Currency

GILMAN,BETHANN 631/344-4144 USD

gilman@bnl.gov

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 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000476047 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: https://www.bnl.gov/ppm/terms-and-conditions.php Should contractor have any questions and/or not have access to these terms and conditions, contact the contractual representative immediately.

ENCLOSURE A

DRAFTSchedule TotalSchedule Tot installed.d der (PO). The said sum der (PO). The said su

Total PO Amount Total PO Amoun

SHIPPING REQUIREMENTS:

Please provide a packing slip with every shipment on the OUTSIDE of the box.

Failure to do so will result in delayed receipt, payment of invoice and a Non-Conformance Report

(NCR)

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

* OUTSIDE LABELS, PACKING SLIP AND INVOICE ALL MUST REFERENCE PO# 476047****

~~IMPORTANT NOTE TO VENDOR~~

Freight along with Tariffs and any Packing & Handling fees are to be included in the "ALL INCLUSIVE" price of the item delivered to BNL. *The BNL PO will NOT have a line for freight or extra fees.

Please include all costs in the price of the product.

FOREIGN Products: If "ALL INCLUSIVE" pricing described above is not available, BNL must be the importer on record: The Incoterms shall be “DAP” along with the utilization of BNLs Freight Forwarder to be provided.

~Early delivery is encouraged and appreciated. Partials accepted.

INVOICING:

Electronic invoice submittal is preferred by BSA. Invoices shall be submitted in PDF format with the P.O. number, price and description included, 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-D.

In addition, the supplier shall indicate the final invoice by clearly marking such invoices as "Final".

ACCEPTANCE:

2/xx/26 BG: Prices & Delivery confirmed with XXXXXXX

****PLEASE CONFIRM RECEIPT OF PURCHASE ORDER TO BETH GILMAN****

PHONE: (631) 344-4144 or EMAIL: GILMAN@BNL.GOV

BNL CONTACT:

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000476047 02/27/2026 2

Payment Terms Freight Terms Ship Via Net 30 FOB Destination, Frt Prepaid UPS-GROUND Contractual Representative Phone Currency

GILMAN,BETHANN 631/344-4144 USD

gilman@bnl.gov

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 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000476047 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: https://www.bnl.gov/ppm/terms-and-conditions.php Should contractor have any questions and/or not have access to these terms and conditions, contact the contractual representative immediately.

( Page 2 of 8

ENCLOSURE A

DRAFTe ReportRepo

CE PO# 476047****PO# 476047**

e to be included in the "ALL INuded in the "ALL IN have a line for freight or extra fhave a line for freight o escribed above is not availablescribed above is not availabl P” along with the utilization of Bng with the utilization of B preciated. Partials accepted.preciated. Partials accepted.

InvoiceInvoice mama

Total PO Amount

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000476047 02/27/2026 3

Payment Terms Freight Terms Ship Via Net 30 FOB Destination, Frt Prepaid UPS-GROUND Contractual Representative Phone Currency

GILMAN,BETHANN 631/344-4144 USD

gilman@bnl.gov

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 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000476047 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: https://www.bnl.gov/ppm/terms-and-conditions.php Should contractor have any questions and/or not have access to these terms and conditions, contact the contractual representative immediately.

ENCLOSURE A

Total PO AmountTotal

SPECIAL INSTRUCTIONS:

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

-Prices are firm unless otherwise indicated.

-The total Purchase Order dollar amount listed herein shall not be exceeded without a signed change order known as a modification to the Purchase Order. This modification must be issued by a Brookhaven National Lab Procurement Individual.

-Purchase Order Number must appear on all correspondence, invoices, shipping papers and packages.

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

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

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, 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:

If a shipment is heavier than 3,000 lbs., longer than 8 feet in any direction, or has a high center of gravity, it will require rigging upon receipt and the shipper shall provide a minimum of 3 days advance notice of delivery to BNL's Receiving department via email to WarehouseOperations@bnl.gov. The shipper must obtain acknowledgement from BNL that delivery notification was received.

Failure to contact BNL will result in delays during delivery and any resulting demurrage will beat the shipper's expense.

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://www.bnl.gov/shipping/

Authorized by:

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000476047 02/27/2026 4

Payment Terms Freight Terms Ship Via Net 30 FOB Destination, Frt Prepaid UPS-GROUND Contractual Representative Phone Currency

GILMAN,BETHANN 631/344-4144 USD

gilman@bnl.gov

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 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000476047 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: https://www.bnl.gov/ppm/terms-and-conditions.php Should contractor have any questions and/or not have access to these terms and conditions, contact the contractual representative immediately.

ENCLOSURE A

DRAFT

ckages.ckages l ices@bnl.gov,@bnl.gov, r paymentpayment rning this Purchase rning this Purchase

ND HOURS:ND HOUR

haven National Laboratoryhaven National Lab n the hours of 8:00 am–12:00n the hours of 8:00 am–

EST, Monday through Friday. EST, Monday through Friday e Purchase Order, all deliverie Purchase Order, all deliveri en National Laboratory (BNLNational Labo g 98 or to the satellite stockro the sat

510, 729, 740 or 918. 510, 729, 740 or 91

ADVANCE NOTIFICATION OFVANCE NOTIFICATION O

If a shipment is heavier ipment is heavier direction, or has a higdirection, or h upon receipt and thupon receipt advance notice oadvance notic to WarehouseOto Warehouse acknowledgacknowledg Failure to any res

U U

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:

3.1.1 A quality system certified/registered to the ISO 9001 standard: (Latest revision as of the date of issuing the procurement documentation).

3.1.2 A quality system that meets the requirements of the ISO 9001 standard: "Quality Management Systems - Requirements" (Latest revision as of the date of issuing the procurement documentation).

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

3.1.4 Other: Refer to procurement documentation (PO, Statement of Work [SOW], specifications, drawings) for quality requirements.

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-0000476047 02/27/2026 5

Payment Terms Freight Terms Ship Via Net 30 FOB Destination, Frt Prepaid UPS-GROUND Contractual Representative Phone Currency

GILMAN,BETHANN 631/344-4144 USD

gilman@bnl.gov

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 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000476047 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: https://www.bnl.gov/ppm/terms-and-conditions.php Should contractor have any questions and/or not have access to these terms and conditions, contact the contractual representative immediately.

ENCLOSURE A

ORYORY

UIREMENTSUIREM

rocurement documentationrocurement docum

: (Latest revision as of the date(Latest revision as of the date

O 9001 standard: "Quality ManO 9001 standard: "Q uing the procurement documenng the procurement doc lity program or system.ram or system.

on (PO, Statement of Work [SOon (PO, Statement of W er's Quality system is subject ter's Quality system is subject ements of the PO. Supplier or nts of the PO. Supplier or gencies right of entry into Suppencies right of en nnel, material, procedures, andnnel, material, proced o change(s) shall be made to ao change(s) shall be made to a en approval of Buyer. en approval of Buyer.

tractors: It is the retractors: It is the r ir subcontracir subcontrac

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-0000476047 02/27/2026 6

Payment Terms Freight Terms Ship Via Net 30 FOB Destination, Frt Prepaid UPS-GROUND Contractual Representative Phone Currency

GILMAN,BETHANN 631/344-4144 USD

gilman@bnl.gov

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 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000476047 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: https://www.bnl.gov/ppm/terms-and-conditions.php Should contractor have any questions and/or not have access to these terms and conditions, contact the contractual representative immediately.

ENCLOSURE A

DRAFT

ssocssoc ct potentiact pote ppliers to prevppliers dify, rework or repadify, rewor ment of Energy website: ment of Energy suspectcounterfeit-and-defecsuspectcounterfeit-a itive to electrostatic discharge itive to electrostatic discharge s and/or packages shall be labs and/or packages shall be lab

Material, and Systems: All electMaterial, and System ivered to BNL shall be certifiedvered to BNL shall be ce

). The CE mark is NOT a recoge CE mark is NOT a reco http://www.osha.gov/) For electw.osha.gov/) For elect s which no NRTL accepts, certNRTL accepts, cert determine the equipment to bedetermine the equipme sis of test data. The determinasis of test data. The det very for review and acceptancvery for review and accept with 29 CFR 1910.147(c)(2)(iiiwith 29 CFR 1910.147(c)(2)(ii devices, those devices shall bees, those devices shall be pment: All hoisting and rigging pment: All hoisting an SHA Regulations and ASME B3SHA Regulations and ASME ipment: All Pipment: All P pplicablpplicabl

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-0000476047 02/27/2026 7

Payment Terms Freight Terms Ship Via Net 30 FOB Destination, Frt Prepaid UPS-GROUND Contractual Representative Phone Currency

GILMAN,BETHANN 631/344-4144 USD

gilman@bnl.gov

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 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000476047 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: https://www.bnl.gov/ppm/terms-and-conditions.php Should contractor have any questions and/or not have access to these terms and conditions, contact the contractual representative immediately.

ENCLOSURE A

k plak pla elled elevating aeriaelled eleva ported elevating work platformported elevating work pla strial trucks (e.g. forklifts, hi-lowal trucks (e.g. f onstruction, markings, and teson, mark ufacturer and supplied with an ufacturer and supplie l equipment (e.g. scissor lifts, fment (e.g. scissor lifts, f use 4.16, must be provided as ust be provided as d manufacturing alerts have bed manufacturing alerts

ed. The supplier shall provide red. The supplier shall pr pliance: The supplier of chemiciance: The supplier of chemic Occupational Safety & Health Apational Safety & Health A on Standard (29CFR1910.1200n Standard (29CF /hazcom/HCSFinalRegTxt.htmlhazcom/HCSFinalRe

S Safety Data Sheets (SDS) wS Safety Data Sheets (SDS HS SDS see OSHA Brief- HazaHS SDS see OSHA Brief- Haz www.osha.gov/Publications/Owww.osha.gov/Publicati a label with the elementa label with the elem ement(s); precautioement(s); precaut ne number]. Fne number]. F ms Publms Publ

4.0 SPECIAL REQUIREMENTS: The following Special Requirements are applicable to this Purchase Order:

4.16 QA Program or Manual: Certificate of Conformance (C of C): With each shipment, per the procurement documentation, the Supplier shall submit a certificate of conformance. In case of drop shipment, a copy of the certificate shall be submitted to the Buyer at the time of shipment. The certificate shall include the title of and be signed by an authorized representative of the company, and shall constitute a representation by the Supplier that:

A. Materials used are those which have been specified by the Buyer, and that the items delivered were produced from materials for which the Supplier has on file, reports of chemical or physical analysis, or any other equivalent evidence of conformance of such items to applicable specifications;

B. Processes used in the fabrication of items delivered were in compliance with applicable specifications forming a part of the purchase order/contract, or Buyer approved procedures or specifications;

C. The items as delivered comply with all applicable drawings, specifications, deviations/waivers and other requirements of the procurement documentation.; and D. When specified, cleaning and cleanliness requirements have been completely satisfied. The C of C shall reference the Supplier's applicable cleaning procedures.

4.43 Franchised / Licensed "Distributor" Traceability: Products that are not purchased directly from the Original Equipment Manufacturer (OEM)/Original Component Manufacturer (OCM) must be purchased only from a franchised/licensed distributor of the product being offered. The distributor shall ensure traceability of all products to the original equipment manufacturer by identifying the original manufacturer for each lot/date code on the Certificate of Conformance. The distributor shall provide a copy of the Manufacturer's certificate for the lot number being supplied, along with their franchised distributor certification. The distributor shall not use unapproved brokers (any company, person, or entity who is not an OEM/OCM) for the purchase of components and parts, unless pre-approval has been granted by Brookhaven Science Associates (BSA).

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000476047 02/27/2026 8

Payment Terms Freight Terms Ship Via Net 30 FOB Destination, Frt Prepaid UPS-GROUND Contractual Representative Phone Currency

GILMAN,BETHANN 631/344-4144 USD

gilman@bnl.gov

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 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000476047 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: https://www.bnl.gov/ppm/terms-and-conditions.php Should contractor have any questions and/or not have access to these terms and conditions, contact the contractual representative immediately.

ENCLOSURE A

DRAFT

cable to tcable pment, per the procpment, pe n case of drop shipment, case of drop s e certificate shall include the te certificate shall incl and shall constitute a represenand shall constitute a repr e Buyer, and that the items delivBuyer, and that the items deliv reports of chemical or physicalorts of chemica to applicable specifications;able spec d were in compliance with appld were in complianc uyer approved procedures or spyer approved procedures able drawings, specifications, ddrawings, specifications, on.; and s requirements have been comnts have been com ng procedures.ng proced

Traceability: Products that are nTraceability: Products that a Original Component Manufacturiginal Component Manufactu of the product being offered. Tproduct being offered. T uipment manufacturer by identipment manufact

Conformance. The distributor Conformance. The d mber being supplied, along withmber being supplied, along se unapproved brokers (any cose unapproved brokers (any c ents and parts, unless pre-apents and parts, unless