468889 - Enclosure C - Enclosure C_Quotation Pricing Sheet.pdf
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- Solicitation number
- 468889
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet from Brookhaven National Laboratory for a Milli-Q IQ 7005 Water Purification System, issued under Request for Proposal No. 468889. The procurement involves purchasing 2 units of a comprehensive water purification system with multiple components, including the main system, remote dispenser, storage tanks, connectors, filters, installation pack, and related accessories. The pricing sheet requires the offeror to confirm their status as an authorized distributor with trained installation technicians, and includes 17 line items for various system components and installation services.
The pricing terms specify FOB Destination, Freight Prepaid (Domestic), DAP (International) with Net 30 Days payment terms, and the pricing will remain firm for 30 days. The document is managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy, and requires the vendor to be registered in the System for Award Management (SAM). The document was approved on 12/14/2020 by L. McKnight, the Procurement and Property Management Division Manager, with a print date of 9/10/2025.
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Date Printed 9/10/2025 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 Quotation Pricing Sheet
Reference: BSA Request for Proposal No. 468889 Milli-Q IQ 7005 Water Purification System
Attention: Blake Clemmer BSA Contractual Representative
To whom it may concern:
In compliance with your letter of solicitation dated ___________, we submit our Quotation No. dated , for Milli-Q IQ 7005 Water Purification System.
Qualifiers Note: The Offeror shall provide Yes/No answers as well as evidence/documentation supporting its Yes/No responses to each of the following questions:
Qualifier Question Yes or No
1 Is the Offeror an authorized distributor of Milli-Q Water Purification Systems?
2 Does the Offeror have installation technicians who are trained and authorized to install, commission, and service Milli-Q Water Purification Systems in addition to uninstalling and decommissioning them?
Price Per Item:
Description Quantity Unit Price Extended Line Item
1. Milli-Q® IQ 7005 water purification system 2 $__________ $__________
2. Q-POD® remote dispenser 2 $__________ $__________
3. Country Box IQ 70XX US 2 $__________ $__________
4. Storage Tank Top Assembly 2 $__________ $__________
5. Storage Tank Frame 50 L 2 $__________ $__________
6. Connector 2m System-Tank 2 $__________ $__________
7. Connector 2m System-POD 2 $__________ $__________
8. External Solenoid Valve 2 $__________ $__________
9. Water Sensor 2 $__________ $__________
10. Milli-Q® IQ 7003/05 Ultrapure Water Purification Kit 2 $__________ $__________
11. Millipak® 0.22μm Filter 2 $__________ $__________
12. EfferSan Effervescent Tablets (Qty. 24) 2 $__________ $__________
13. StartPAK Installation Pack 2 $__________ $__________
14. Wall Mounting Bracket 2 $__________ $__________
15. Wall Bracket for Storage Tank 2 $__________ $__________
16. Milli-Q® IQ 70XX Installation 2 $__________ $__________
17. Firm-Fixed-Price Travel – Zone 1 2 $__________ $__________
Total Price: USD $_____________
Date Printed 9/10/2025 2 of 2 Date Approved 12/14/2020
Place of Manufacture: _____________
This price shall remain firm for (30) days.
The terms of delivery and payment are FOB Destination, Freight Prepaid (Domestic), DAP (International) Net 30 Days.
0BConcurrence:
By signing this 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. We affirm we are registered in SAM and our representations and certifications as well as our small business size status are current and complete. The UEI number associated with our SAM profile is:________.
Company: Signature:
Address:
Typed Name:
Address Line 2: Title:
Telephone No.: Date:
Concurrence:
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