6. RFP Enclosure 2 Proposal Pricing Sheet AMS-Form-043 11.25.24.pdf

Date Printed 11/25/2024 1 of 5 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

Proposal Pricing Sheet Reference: BSA Request for Quotation No. 442789 Service and Retirement Recognition Awards Program

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902B Upton, NY 11973

Attention: Jeanhei D. Christy Sr. Contracts Specialist

In compliance with your letter of solicitation dated November 25, 2024, we submit our Proposal dated _______________, for Service and Retirement Recognition Awards Program.

Total Price $_____________ for all years below (base year and nine (9) option years)

This price shall remain firm for 180 days. Prices must be in U.S. Dollars. Amounts must be rounded to the nearest dollar.

Enter the proposed Firm Fixed Unit Price (FFUP) rates per Gift and Recognition Package for all years below.

Note: The number of transactions per year is not guaranteed and may vary. The transaction number will be used to calculate the total estimated value of the contract for evaluation and funding planning purposes only.

Milestone Level (years)

Estimated Transactions per year* (A)

Year 1 Gift Rate (B)

Year 1 Recognition Rate

(C)

Subtotal Gifts multiply (A) and (B)

Subtotal Recognition multiply (A) and (C)

5 250 $ $ $ $ 10 125 $ $ $ $ 15 200 $ $ $ $ 20 75 $ $ $ $ 25 100 $ $ $ $

30/35/40 200 $ $ $ $ 45+ 50 $ $ $ $

Retirement 50 $ $ $ $

Subtotals:

Estimated Value Year 1: $________________________

Date Printed 11/25/2024 2 of 5 Date Approved 12/14/2020

(years)

Estimated Transactions per year* (A)

Year 2 (Option) Gift Rate (B)

Year 2 (Option) Recognition Rate

(C)

Subtotal Gifts multiply (A) and (B)

Subtotal Recognition multiply (A) and (C)

5 250 $ $ $ $ 10 125 $ $ $ $ 15 200 $ $ $ $ 20 75 $ $ $ $ 25 100 $ $ $ $

30/35/40 200 $ $ $ $

Estimated Value Year 2 (Option): $________________________

Estimated Transactions per year* (A)

Year 3 (Option) Gift Rate (B)

Year 3 (Option) Recognition Rate

(C)

Subtotal Gifts multiply (A) and (B)

Subtotal Recognition multiply (A) and (C)

5 250 $ $ $ $ 10 125 $ $ $ $ 15 200 $ $ $ $ 20 75 $ $ $ $ 25 100 $ $ $ $

30/35/40 200 $ $ $ $

Estimated Value Year 3 (Option): $________________________

Estimated Transactions per year* (A)

Year 4 (Option) Gift Rate (B)

Year 4 (Option) Recognition Rate

(C)

Subtotal Gifts multiply (A) and (B)

Subtotal Recognition multiply (A) and (C)

5 250 $ $ $ $ 10 125 $ $ $ $ 15 200 $ $ $ $ 20 75 $ $ $ $ 25 100 $ $ $ $

30/35/40 200 $ $ $ $

Estimated Value Year 4 (Option): $________________________

Date Printed 11/25/2024 3 of 5 Date Approved 12/14/2020

(years)

Estimated Transactions per year* (A)

Year 5 (Option) Gift Rate (B)

Year 5 (Option) Recognition Rate

(C)

Subtotal Gifts multiply (A) and (B)

Subtotal Recognition multiply (A) and (C)

5 250 $ $ $ $ 10 125 $ $ $ $ 15 200 $ $ $ $ 20 75 $ $ $ $ 25 100 $ $ $ $

30/35/40 200 $ $ $ $

Estimated Value Year 5 (Option): $________________________

Estimated Transactions per year* (A)

Year 6 (Option) Gift Rate (B)

Year 6 (Option) Recognition Rate

(C)

Subtotal Gifts multiply (A) and (B)

Subtotal Recognition multiply (A) and (C)

5 250 $ $ $ $ 10 125 $ $ $ $ 15 200 $ $ $ $ 20 75 $ $ $ $ 25 100 $ $ $ $

30/35/40 200 $ $ $ $

Estimated Value Year 6 (Option): $________________________

Estimated Transactions per year* (A)

Year 7 (Option) Gift Rate (B)

Year 7 (Option) Recognition Rate

(C)

Subtotal Gifts multiply (A) and (B)

Subtotal Recognition multiply (A) and (C)

5 250 $ $ $ $ 10 125 $ $ $ $ 15 200 $ $ $ $ 20 75 $ $ $ $ 25 100 $ $ $ $

30/35/40 200 $ $ $ $

Estimated Value Year 7 (Option): $________________________

Date Printed 11/25/2024 4 of 5 Date Approved 12/14/2020

(years)

Estimated Transactions per year* (A)

Year 8 (Option) Gift Rate (B)

Year 8 (Option) Recognition Rate

(C)

Subtotal Gifts multiply (A) and (B)

Subtotal Recognition multiply (A) and (C)

5 250 $ $ $ $ 10 125 $ $ $ $ 15 200 $ $ $ $ 20 75 $ $ $ $ 25 100 $ $ $ $

30/35/40 200 $ $ $ $

Estimated Value Year 8 (Option): $________________________

Estimated Transactions per year* (A)

Year 9 (Option) Gift Rate (B)

Year 9 (Option) Recognition Rate

(C)

Subtotal Gifts multiply (A) and (B)

Subtotal Recognition multiply (A) and (C)

5 250 $ $ $ $ 10 125 $ $ $ $ 15 200 $ $ $ $ 20 75 $ $ $ $ 25 100 $ $ $ $

30/35/40 200 $ $ $ $

Estimated Value Year 9 (Option): $________________________

Estimated Transactions per year* (A)

Year 10 (Option) Gift Rate (B)

Year 10 (Option) Recognition Rate

(C)

Subtotal Gifts multiply (A) and (B)

Subtotal Recognition multiply (A) and (C)

5 250 $ $ $ $ 10 125 $ $ $ $ 15 200 $ $ $ $ 20 75 $ $ $ $ 25 100 $ $ $ $

30/35/40 200 $ $ $ $

Estimated Value Year 10 (Option): $________________________

Date Printed 11/25/2024 5 of 5 Date Approved 12/14/2020

Concurrence:

By signing this Proposal 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 have an Active Registration and current Representations & Certifications in the System for Award Management (SAM).

Company _____________________ Signature _____________________

Address ______________________ Typed Name __________________

______________________________ Title _________________________

Telephone No.___(___)__________ Date _________________________

SAM.gov UEI No.: _____________

Concurrence: