B.1c_482922 - Enclosure C. AMS-Form-043 Quote Sheet - Rev. 1.docx

This is a Quotation Pricing Sheet (AMS-Form-043) for a Request for Quotation (RFQ) issued by Brookhaven Science Associates, LLC for a Blanket Ordering Agreement (BOA) to supply X-Ray Mirrors. The solicitation number is 482922, with a solicitation date of September 9, 2026. Quotes must be submitted to Andrew S. Pascoe, Contracts Specialist, at Brookhaven National Laboratory, Upton, NY. The pricing sheet template requires vendors to provide unit and extended prices for four line items: Silicon Concave Spherical Mirrors (quantity 3), Silicon Plane Mirror Matched Pairs (quantity 2), Silicon Plane Mirrors (quantity 4), and Zerodur Flat Mirrors (quantity 2). All pricing must be in U.S. dollars and inclusive of taxes, fees, customs, duties, and other charges, with delivery terms specified as FOB Destination and payment terms of Net 30 for large or foreign businesses and Net 10 for small businesses.

Vendors must provide additional information including country of origin or place of manufacture, applicable HTS codes, and export control point of contact details if items originate outside the United States. The form requires vendor signature and acknowledgment of BSA's requirements, terms, conditions, and delivery schedules. Per the RFQ revision noted in the opportunity description, the BOA will be unpriced with pricing determined at the Task Order level, and the award decision will be based on pricing proposed for Task Order 1. The contracting agency is the Department of Energy Office of Science.