Attachment (C) Quotation Pricing Sheet.pdf

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Employee Survey Services
Solicitation number
RFQ_421203
Issued by

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File Type Posted
Amendment 1 Q and A.pdf PDF
Enclosure (1) Draft Contract 421203.docx DOCX document
Attachment (B) BNL-QA-101.pdf PDF
RFQ Letter 421203.pdf PDF
Attachment (A) SOW.pdf PDF

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Date Printed 10/7/2022 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 Quotation No. 421203 Employee Survey Services

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

Attention: Eric Nagel Sr. Contracts Specialist

In compliance with your letter of solicitation, we submit our Quotation No._______________ dated _______________, for Employee Survey Services for Brookhaven National Labs.

Employee Survey Services Includes everything as detailed in the Statement of Work (Attachment A):

Description

Employee Survey Services (PoP 1 Jan. 23 – 30 Sep. 25) $__________

Employee Survey Services Option (PoP 1 Oct. 25 – 30 Sep. 27) $__________

Employee Engagement Services Option (Per occasion) $__________

This price shall remain firm for 60 days.

Date Printed 10/7/2022 2 of 2 Date Approved 12/14/2020

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 (if applicable) are current and complete.

Company _____________________ Signature _____________________

Address ______________________ Typed Name __________________

______________________________ Title _________________________

Telephone No.___(___)__________ Date _________________________

Concurrence:

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