Enclosure 4 quote form.pdf

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Electron Beam Ion Source Collector Power Supply
Solicitation number
372427FM
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File Type Posted
Attachment B Spec_CAD-1351.pdf PDF
Enclosure 3-AMS-Form-010.pdf PDF
Enclosure 1 - Draft Contract.pdf PDF
RFP 372427.pdf PDF
Enclosure 2 - AMS-Form-009.pdf PDF
Attachment E -Sample SB SCP.pdf PDF
Attachment C BNL QA.pdf PDF
Attachment D Patent AMS-FORM-032.pdf PDF
Attachment A Sow E1160700SOW.pdf PDF

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ENCLOSURE 4

Date Printed 2/10/2020 1 of 2 Date Approved 05/15/17

FPROCUREMENT AND PROPERTY MANAGEMENT DIVISION

BROOKHAVEN NATIONAL LABORATORY

Managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy

ACQUISITION MANAGEMENT SYSTEM FORM

Form No. AMS-Form-043

Revision No. 0

APPROVED BY:

A. Guadagni / 05/15/17

PPM Manager/Date

Proposal Pricing Sheet Reference: BSA Request for Proposal No.372427 FM

For the Electron Beam Ion Source (EBIS) Collection Power Supply

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg.

Upton, L.I., NY 11973

Attention: Francine Militscher Sr Contracts Specialist

In compliance with your letter of solicitation dated _______, we submit our Quotation No.

___________________________ dated _______________, for the Electron Beam Ion Source (EBIS) Collection Power Supply

Item Quantity Unit Price

Each Extended Price

EBIS Collection Power Supply

MILESTONE PAYMENT PLAN QUOTATION

Description Extended Price

Receipt and Approval of the Program Plan

Receipt and Approval of the Manufacturing/Inspection /Test Plan

ENCLOSURE 4

Date Printed 2/10/2020 2 of 2 Date Approved 05/15/17

NOTE: The total dollars for the Milestone Payment Schedule must be the same (equal) as the total dollars for the EBIS Collection Power Supply.

These prices shall remain firm for 120 days.

The terms of delivery and payment terms are FOB Destination, Net 30 Days.

Receipt and Approval of the Preliminary Design Review Report

Receipt and Approval of Final Design Review Report

Acceptance Testing Completed and Accepted

Delivery, Receipt and Approval of the EBIS Power Supply at BNL

Delivery Receipt and Approval of all end Item Documentation-

TOTAL PRICE $

Concurrence:

By signing this Quotation Pricing Sheet our firm hereby acknowledges and agrees to BSA's requirements, terms and conditions, and delivery schedule, and agree to provide the resources necessary to meet BSA's delivery schedule.

Company _____________________ Signature _____________________

Address ______________________ Typed Name __________________

______________________________ Title _________________________

Telephone No.___(___)__________ Date _________________________

Concurrence:

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