Enclosure 3 - Proposal Pricing Sheet 03DEC24.pdf
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- Attached to
- HSR BPM Cryo-Cable Assembly
- Solicitation number
- 438478
- Issued by
-
Department of Energy Office of Science
About this file
This is a Proposal Pricing Sheet form (Form No. AMS-Form-043) from Brookhaven National Laboratory for BSA Request for Proposal No. 438478, Amendment 7, regarding EIC HSR BPM Cryo-Cable Assembly procurement.
The pricing sheet requests quotes for two line items: Line 1 consists of 6 base EIC HSR BPM Cryo-Cable Assembly units (design verification components) including 3 straight cables and three specific part numbers (2551m0002-01/02/03). Line 2 is an option for 1,159 production components, broken down into specific quantities of eight different part numbers (2551m0002-01 through 08). The terms specify FOB Destination/Incoterms 2020 – DAP: Upton, NY with Net 30 Days payment terms. Pricing must remain firm for 120 days. Vendors must complete company information, place of manufacture, and provide a Unique Identity Identifier number. The form was approved on 12/14/2020 and printed on 12/3/2024.
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Text version
Date Printed 12/3/2024 1 of 2 Date Approved 12/14/2020
PROCUREMENT 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. 0.1
APPROVED BY:
L. McKnight / 12/14/2020
PPM Manager/Date
Proposal Pricing Sheet
Reference: BSA Request for Proposal No. 438478, Amendment 7
EIC HSR BPM Cryo-Cable Assembly
Brookhaven National Laboratory
Brookhaven Science Associates, LLC
P.O. Box 5000 – Bldg. 902B
Upton, NY 11973
Attention: William Koncelik
Contracts Administrator
To whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Quotation No.
___________________________ dated _______________, for EIC HSR BPM Cryo-Cable Assembly.
Line Qty Description Unit Price
1 6 Base - EIC HSR BPM Cryo-Cable Assembly Outer Diameter Outer Diameter
(design verification component) per size inches inches
3 each Straight Cables $___________each $__________ each
1 each 2551m0002-01 $___________each $___________each
1 each 2551m0002-02 $___________each $___________each
1 each 2551m0002-03 $___________each $___________each
Subtotal $___________ $___________
2 1,159 Option - EIC HSR BPM Cryo-Cable Assembly
(production component)
273 each 2551m0002-01 $___________each $___________each
273 each 2551m0002-02 $___________each $___________each
273 each 2551m0002-03 $___________each $___________each
273 each 2551m0002-04 $___________each $___________each
17 each 2551m0002-05 $___________each $___________each
17 each 2551m0002-06 $___________each $___________each
17 each 2551m0002-07 $___________each $___________each
16 each 2551m0002-08 $___________each $___________each
Subtotal $___________ $___________
Total Price $_____________USD $_____________USD
Date Printed 12/3/2024 2 of 2 Date Approved 12/14/2020
Place of Manufacture: ______________________________
This price shall remain firm for 120 days.
The terms of delivery and payment terms are FOB: Destination/Incoterms 2020 – DAP: Upton, NY, Net 30 Days.
Concurrence:
By signing this Quotation Pricing Sheet, our firm hereby acknowledges and agrees to BSA's requirements, terms and conditions, and delivery schedule, and agrees to provide the resources necessary to meet BSA's delivery schedule.
Company _____________________ Signature _____________________
Address ______________________ Typed Name __________________
______________________________ Title _________________________
Telephone No.___(___)__________ Date _________________________
Unique Identity Identifier # _______________
File details come from the government source that posted it. Updated .