ENCLOSURE A DRAFT PO.pdf

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RF tube cavities (No Substitutes)
Solicitation number
BG473053
Issued by

About this file

This is a Purchase Order (PO) from Brookhaven National Laboratory (BNL) for multiple electronic/mechanical components with the following key details:

The draft PO (BNL-0000473053) is dated 12/08/2025 and includes five line items: Extension Outer Conductor, Assembly Coax, Bullet Inner Conductor, Guide Bar, and Coax Carriage. Each item has a quantity of 4-8 units with a due date of 06/19/2026. The purchase is under BNL's prime contract with the U.S. Department of Energy, with payment terms of Net 30, FOB Destination, and shipped via UPS Ground. The vendor is currently listed as "ANY VENDOR" and the PO is tax exempt. The document includes extensive supplier quality assurance requirements, specifically referencing BNL-QA-101, which mandates ISO 9001 compliance, quality system assessments, and detailed specifications for material handling, equipment standards, and chemical compliance.

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ENCLOSURE B AMS FORM_043.pdf PDF
BSA_Commercial_Product_Rev. 23.0 may_2025.pdf PDF
AMS-Template-003 RFQ.pdf PDF

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1- 1 91212-1 Extension Outer Conductor EA4.000 06/19/2026

Schedule Total

QA Paragraph(S): 3.1.3

ESH&Q Risk Level: A3 - Minor

Item Total

2- 1 91271-1 Assembly Coax EA4.000 06/19/2026

Schedule Total

QA Paragraph(S): 3.1.3

ESH&Q Risk Level: A3 - Minor

Item Total

3- 1 91260-1 Bullet Inner Conductor EA4.000

Schedule Total

QA Paragraph(S): 3.1.3

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000473053 12/08/2025 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#: 0000473053 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

Schedule TotalSchedule Tot

Item

ESH&Q Risk Level: A3 - Minor

Item Total

4- 1 91681-1 Guide Bar EA8.000 06/19/2026

Schedule Total

QA Paragraph(S): 3.1.3

ESH&Q Risk Level: A3 - Minor

Item Total

5- 1 103169-1 Coax Carriage EA4.000 06/19/2026

Schedule Total

QA Paragraph(S): 3.1.3

ESH&Q Risk Level: A3 - Minor

Item Total

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.

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000473053 12/08/2025 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#: 0000473053 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

otaltal

EA8.000EA8.000

ScheduleSchedule

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).

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.

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# 473053****

~~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.

This Firm Fixed price agreement includes all costs including freight, broker charges, tariffs and installation if applicable.

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000473053 12/08/2025 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#: 0000473053 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

DRAFTuirements,uirements, ddition to allddition ase order willase or should be communicated byuld be communicated by chase Order Number(s) and narder Number(s) and na tifying the subject material.ubject material.

ery shipment on the OUTSIDery shipment on the OU eipt, payment of invoiceeipt, payment of invo

ECEIVINECEIVIN

~~IMPORTANT NOTE TO VENDOR~~

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

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

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:

12/xx/25 BG: Prices & Delivery confirmed with XXXXXXX

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

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

Total PO Amount

Purchase Order Dispatch via E-Mail

Purchase Order Date Revision Page

BNL-0000473053 12/08/2025 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#: 0000473053 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

h theh the mail is notmail is not g No. 400-D.g No. 400-D.

s ass as

ETH GILMAN****GILMAN****

N@BNL.GOVV

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-0000473053 12/08/2025 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#: 0000473053 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-0000473053 12/08/2025 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#: 0000473053 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-0000473053 12/08/2025 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#: 0000473053 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-0000473053 12/08/2025 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#: 0000473053 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

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