Enclosure C - Quotation Pricing Sheet 480883.docx

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480883 Request for Quote (RFQ): Procurement of Ultra-High Vacuum Compatible Hybrid Pixel Detector System for the Booster Polarimeter
Solicitation number
480883
Issued by

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This is a Quotation Pricing Sheet template for BSA Request for Quotation No. 480883, issued by Brookhaven National Laboratory's Procurement and Property Management Division. The RFQ solicits quotes for an Ultra-High Vacuum Compatible Hybrid Pixel Detector System for the Booster Polarimeter, with a required quantity of two units. Bidders must submit pricing on this form, which serves as the official quotation response document. The pricing sheet requires vendors to provide a unit price and cumulative total price, with the overall price to remain firm for ninety days. Delivery and payment terms are specified as FOB Destination with Net payment terms to be determined.

Respondents must acknowledge BSA's requirements, terms and conditions, and delivery schedule upon submission. All bidders are required to be registered in the System for Award Management (SAM) with current representations and certifications, and must provide their UEI number. The deadline for questions concerning this RFQ is August 25, 2026, with inquiries directed to Shaylyn Price at sprice@bnl.gov. This solicitation is posted on SAM.gov and is being issued under the Department of Energy Office of Science as the federal agency managing this procurement through Brookhaven Science Associates, LLC.

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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. 480883: Ultra-High Vacuum Compatible Hybrid Pixel Detector System for the Booster Polarimeter

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. SUSC 101 Upton, NY 11973

Attention: Shaylyn Price, Contract Specialist

To whom it may concern:

In compliance with your letter of solicitation dated [insert date], we submit our Quotation No._______________________ dated ____________, for “480883 Ultra-High Vacuum Compatible Hybrid Pixel Detector System for the Booster Polarimeter” for Brookhaven Science Associates, LLC.

Description
Qty
Unit Price
Cumulative ToalComment by Gonzales, Lisa: Please include optionsComment by Price, Shaylyn: No options
Ultra-High Vacuum Compatible Hybrid Pixel Detector System
2

Total Overall Price……………………………………………………………… $_____________

This price shall remain firm for Ninety (90) days.

The terms of delivery and payment terms are FOB Destination, Net (TBD) 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. 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 _________________________

Date Printed 8/17/2026 1 of 1 Date Approved 12/14/2020

File details come from the government source that posted it. Updated .