Enclosure C - Quotation Pricing Sheet.pdf

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Serial Subscription Services
Solicitation number
480207
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This is a Quotation Pricing Sheet template issued by Brookhaven National Laboratory (managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy) in response to Request for Quotation No. 480207 for serial subscription services. The solicitation seeks pricing for the acquisition of serial subscriptions available in electronic, print, and other formats, with responses directed to Blake Clemmer at Brookhaven National Laboratory, P.O. Box 5000, Building SUSC, Upton, Long Island, NY 11973.

Quoters must provide pricing for a Base Year plus four Option Years (Option Years One through Four), with each pricing tier requiring specification of service charges, discounts, and miscellaneous fees. All quoted prices must apply uniformly to all subscriptions ordered by BSA. Pricing must remain firm for 90 days, with delivery and payment terms specified as FOB Destination, Net 30 Days. The concurrence section requires vendors to confirm SAM registration, current representations and certifications, and small business size status, along with submission of their UEI number. Authorized company representatives must sign the sheet, providing company name, address, contact telephone number, typed name, title, and date.

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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. 480207 Serial Subscription Services

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. SUSC Upton, L.I., NY 11973

Attention: Blake Clemmer

In compliance with your Request for Quotation #480207, we submit our Quotation No.

___________________________ dated _______________, for the acquisition of serial subscriptions published in electronic, print, and other formats.

1. Subscription Pricing

Base Year A. Price to BSA (this rate must apply to all subscriptions ordered by BSA)

• Service charge_______________________________

• Discount____________________________________

• Miscellaneous fees ____________________________

• Describe miscellaneous fees _____________________

Option Year One

B. Price to BSA (this rate must apply to all subscriptions ordered by BSA)

• Service charge__________________________________

• Discount______________________________________

• Miscellaneous fees ______________________________

• Describe miscellaneous fees ______________________

Option Year Two

C. Price to BSA (this rate must apply to all subscriptions ordered by BSA)

• Service charge ________________________________

• Discount___ __________________________________

• Miscellaneous fees _____________________________

• Describe miscellaneous fees_______________________

Option Year Three

D. Price to BSA (this rate must apply to all subscriptions ordered by BSA)

• Service charge __________________________________

• Discount _______________________________________

• Miscellaneous fees _______________________________

• Describe miscellaneous fees _______________________

Option Year Four E. Price to BSA (this rate must apply to all subscriptions ordered by BSA)

• Service charge _________________________________

• Discount______________________________________

• Miscellaneous fees _____________________________

• Describe miscellaneous fees _____________________

All prices/charges/discounts/fees shall remain firm for 90 days.

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

0BConcurrence:

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. 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: (Insert Number Here).

Company _____________________ Signature _____________________

Address ______________________ Typed Name __________________

______________________________ Title _________________________

Telephone No.___(___)__________ Date _________________________

Concurrence:

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