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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
Quotation Pricing Sheet
| Reference: | BSA Request for Quotation No. 442492 |
| Health Physics Support | |
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902B Upton, NY 11973
| Attention: | Carmela Hornbeck |
| Senior Contract Specialist |
To whom it may concern:
In compliance with your letter of solicitation, we submit our Quotation No. ___________________________ dated _______________, for Health Physics Support.
| Line Item |
| Description |
| Labor Category |
| Unit of Measure |
| Fully Burdened Rate |
| 1 |
| Base Year Service – PoP-TBD |
| Radiological Control Technician I, RCT I |
| Hours |
| Radiological Control Technician II, RCT II |
| Hours |
| Lead Radiological Control Technician |
| Hours |
| Technical Supervisor |
| Hours |
| Radiological Engineer |
| Hours |
| 2 |
| Option Year (OY) 1 – PoP-TBD |
| Radiological Control Technician I, RCT I |
| Hours |
| Radiological Control Technician II, RCT II |
| Hours |
| Lead Radiological Control Technician |
| Hours |
| Technical Supervisor |
| Hours |
| Radiological Engineer |
| Hours |
| 3 |
| Option Year (OY) 2 – PoP-TBD |
| Radiological Control Technician I, RCT I |
| Hours |
| Radiological Control Technician II, RCT II |
| Hours |
| Lead Radiological Control Technician |
| Hours |
| Technical Supervisor |
| Hours |
| Radiological Engineer |
| Hours |
Total Price $_____________
This price shall remain firm for 120 days.
The terms of delivery and payment terms are FOB Destination, Net 30 Days (Net 10 for Small Business).
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 _________________________ |
SAM UEI:_______________________________________
Date Printed 7/2/2024 1 of 1 Date Approved 12/14/2020