Enclosure A - Draft PO.PDF

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Attached to
SOFT STARTERS AND ASSOCIATED EQUIPMENT FOR CONDENSER WATER PUMPS (CWP)
Solicitation number
JF467262
Issued by

About this file

This document is a draft Purchase Order (PO) from Brookhaven National Laboratory (BNL) issued on 07/14/2025 for various electrical and communication components. The PO includes six line items totaling $0.24, with each item priced at $0.04 and a quantity of 4 units, including: a softart for 201 A 75-150 HP, a protective module, disconnect terminal lugs, a HIM component, a DPI scan port cable, and a ControlNet communication adapter. The items are to be delivered to Receiving Building 98 at BNL by 09/30/2025, with payment terms of Net 30 and shipped via UPS Ground.

The purchase order is issued under Brookhaven Science Associates' (BSA) Prime Contract with the U.S. Department of Energy, and includes extensive quality assurance requirements. Notable shipping instructions include providing a packing slip on the outside of each box, referencing the PO number on all documentation, and delivering during working hours (8:00 am-12:00 pm or 1:00-4:00 pm EST). The vendor must submit a Certificate of Conformance with each shipment, maintain quality records for at least three years, and immediately notify BNL of any significant changes in design, methods, or processes that could affect the items' form, fit, function, reliability, safety, or interchangeability.

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Text version

1- 1 AB 150-F201NBDB / PN:M1895856 /

Softart for 201 A 75-150 HP AT 460V

AC 150

0.0100EA 4.000 0.04 09/30/2025

Schedule Total 0.04

QA Paragraph(S): 4.16, 4.1, 3.1.4, 4.19, 4.39, 4.7.3

DO NOT FILL THIS DOCUMENT IN. THIS IS A SAMPLE FOR YOUR INFORMATION ONLY. NO NEED TO SEND IT BACK WITH

THE BID.

ESH&Q Risk Level: A3 - Minor

Item Total 0.04

2- 1 AB 150-F84L / PN:M5029733 /

Protective module

0.0100EA 4.000 0.04 09/30/2025

Schedule Total 0.04

QA Paragraph(S): 3.1.4, 4.16, 4.19, 4.39, 4.7.3

ESH&Q Risk Level: A3 - Minor

Item Total 0.04

3- 1 AB 199-LF1 / PN:M0009827 /

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

BNL-0000467262 07/14/2025 1

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

FAMIGLIETTI,JOSEPH B 631/344-3230 USD

jfamiglie@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#: 0000467262 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.

Disconnect terminal lugs

0.0100EA 4.000 0.04 09/30/2025

Schedule Total 0.04

QA Paragraph(S): 4.19, 4.16, 3.1.4, 4.39, 4.7.3

ESH&Q Risk Level: A3 - Minor

Item Total 0.04

4- 1 AB 20-HIM-A6 / M3459606 / HIM 0.0100EA 4.000 0.04 09/30/2025

Schedule Total 0.04

QA Paragraph(S): 3.1.4, 4.16, 4.19, 4.39, 4.7.3

ESH&Q Risk Level: A3 - Minor

Item Total 0.04

5- 1 AB 1202-H10 / PN:M4981944 / DPI

scan port cable

0.0100EA 4.000 0.04 09/30/2025

Schedule Total 0.04

QA Paragraph(S): 3.1.4, 4.19, 4.7.3, 4.39

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

BNL-0000467262 07/14/2025 2

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

FAMIGLIETTI,JOSEPH B 631/344-3230 USD

jfamiglie@bnl.gov

Brookhaven National Laboratory Brookhaven National Laboratory Upton, NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN, NY 11973

PO Box 5000 Upton, NY 11973-5000 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000467262 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.

ESH&Q Risk Level: A3 - Minor

Item Total 0.04

6- 1 AB 20-COMM-C / PN:M0100985 /

ControlNet com adapter

0.0100EA 4.000 0.04 09/30/2025

Schedule Total 0.04

QA Paragraph(S): 3.1.4, 4.16, 4.39, 4.19, 4.7.3

ESH&Q Risk Level: A3 - Minor

Item Total 0.04

IMPORTANT NOTE TO VENDOR: PLEASE CONFIRM RECEIPT OF PURCHASE ORDER TO BUYER AT JFAMIGLIE@BNL.GOV

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."

* NO ADVANCED DELIVERY NOTICE NEEDED IN GENERAL, CAN DELIVER ANY TIME DURING WORKING HOURS.

FOR LARGE SHIPMENTS: 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 be at the shipper's expense.

Shipments lighter than 3000lbs/8FT: no correspondence is necessary. You may visit https://www.bnl.gov/shipping/ with any additional questions.

* OUTSIDE LABELS, PACKING SLIP AND INVOICE ALL MUST REFERENCE OUR PO NUMBER

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

BNL-0000467262 07/14/2025 3

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

FAMIGLIETTI,JOSEPH B 631/344-3230 USD

jfamiglie@bnl.gov

Brookhaven National Laboratory Brookhaven National Laboratory Upton, NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN, NY 11973

PO Box 5000 Upton, NY 11973-5000 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000467262 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.

* DO NOT INSURE THE SHIPMENT OR DECLARE VALUE

* Early delivery is encouraged and appreciated. Partials accepted.

IF FREIGHT IS CHARGED: A copy of the freight bill must accompany the Seller’s invoice when charges in excess of $100.00 are billed to BNL by the Seller. For further shipping instructions, please go to the following link: https://www.bnl.gov/shipping

ALL HAZARDOUS AND PERISHABLE shipments must be clearly marked as such on the outer packaging container and on the packing slip.

TERMS AND CONDITIONS, BASED ON THE ITEM(S)/SERVICE(S) PROVIDED, SHALL APPLY: For Commercial Items and Services: 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, 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.

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

Total PO Amount 0.24

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

BNL-0000467262 07/14/2025 4

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

FAMIGLIETTI,JOSEPH B 631/344-3230 USD

jfamiglie@bnl.gov

Brookhaven National Laboratory Brookhaven National Laboratory Upton, NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN, NY 11973

PO Box 5000 Upton, NY 11973-5000 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000467262 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.

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-0000467262 07/14/2025 5

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

FAMIGLIETTI,JOSEPH B 631/344-3230 USD

jfamiglie@bnl.gov

Brookhaven National Laboratory Brookhaven National Laboratory Upton, NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN, NY 11973

PO Box 5000 Upton, NY 11973-5000 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000467262 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.

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-0000467262 07/14/2025 6

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

FAMIGLIETTI,JOSEPH B 631/344-3230 USD

jfamiglie@bnl.gov

Brookhaven National Laboratory Brookhaven National Laboratory Upton, NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN, NY 11973

PO Box 5000 Upton, NY 11973-5000 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000467262 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.

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-0000467262 07/14/2025 7

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

FAMIGLIETTI,JOSEPH B 631/344-3230 USD

jfamiglie@bnl.gov

Brookhaven National Laboratory Brookhaven National Laboratory Upton, NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN, NY 11973

PO Box 5000 Upton, NY 11973-5000 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000467262 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.

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-0000467262 07/14/2025 8

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

FAMIGLIETTI,JOSEPH B 631/344-3230 USD

jfamiglie@bnl.gov

Brookhaven National Laboratory Brookhaven National Laboratory Upton, NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN, NY 11973

PO Box 5000 Upton, NY 11973-5000 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000467262 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.

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

4.1 QA Program or Manual: The Supplier must submit a copy of their Quality Assurance Program or Manual with their proposal for review and evaluation.Suppliers providing A1/A2 but without a quality system compliant with NQA-1, i.e., Commercial Grade Supplier, must follow applicable Commercial Grade Dedication Instructions as defined in the SOW.

OR

Supplier must utilize the QA Program audited and approved by BNL.

4.7 Special Process: Processes (e.g., welding, brazing, bonding, plating, chemical machining, chemical coating, chemical cleaning, precision cleaning, heat treating, or waste processing) that either cannot be verified non-destructively or require a unique (special) non-destructive test / inspection (e.g., radiographic inspection, ultrasonic testing, pressure leak testing) shall be performed in accordance with detailed written procedures. These procedures shall specifically describe the exact manner in which the processes are to be performed. Additionally, the following requirements apply as selected:

4.7.3 Qualification of Procedures, Facilities, Equipment and Personnel - The Supplier shall, prior to use, qualify the procedures / specifications, facilities, equipment and personnel that will be used for the performance of special processes. Only those personnel who have been qualified to perform a specific special process shall be used to perform that process. Records of such qualification shall be available to the Buyer's representative upon request.

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.

4.19 Notification of Change to Design, Methods, or Processes: The Supplier shall immediately notify the Buyer of any significant changes (those that may affect form, fit, function, reliability, safety, or interchangeability) in product design, fabrication methods, material or processing from those used by the Supplier at time of Supplier's quotation or offer to the Buyer, which resulted in the purchase order.

4.39 Records : The Supplier must retain objective evidence, including records, of the inspections and tests performed in the course of manufacturing, testing, inspecting, preserving, packaging, and preparation for shipment of procured items. These records must be made available to the Buyers representative for review upon request. These records must be maintained for a minimum of three (3) years, unless otherwise specified in the procurement documentation, after the completion of the PO/contract.

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

BNL-0000467262 07/14/2025 9

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

FAMIGLIETTI,JOSEPH B 631/344-3230 USD

jfamiglie@bnl.gov

Brookhaven National Laboratory Brookhaven National Laboratory Upton, NY 11973-5000

DRAFT

Vendor: 0000026188

ANY VENDOR

ANY STREET

ANYTOWN, NY 11973

PO Box 5000 Upton, NY 11973-5000 APinvoices@bnl.gov

Ship To: Brookhaven National Lab Ref PO#: 0000467262 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.

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