B.1_472719 - Enclosure C_Quotation Pricing Sheet.docx
DOCX document 24 KB Posted
- Attached to
- Procurement, Configuration, and Delivery of High-Stability Unipolar Magnet Power Supply Systems
- Solicitation number
- 474719
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template for Brookhaven Science Associates, LLC (BSA), the operator of Brookhaven National Laboratory under a U.S. Department of Energy Prime Contract. The form is designated as AMS-Form-043 and is used to collect pricing submissions for the procurement, configuration, and delivery of High-Stability Unipolar Magnet Power Supply Systems referenced in Request for Proposal No. 472719. Offerors must complete this form by providing their total price in U.S. Dollars, designating the place of manufacture to comply with the Buy American Act requirements, and confirming their company information, contact details, and authorized signature. The pricing must remain firm for sixty (60) days, with delivery terms specified as FOB Destination, Freight Prepaid for North American locations or DDP (Delivered Duty Paid) for international locations, with payment terms of Net 30 Days (Net 10 for Small Business).
By submitting this pricing sheet, offerors acknowledge and agree to BSA's requirements, terms, conditions, and delivery schedule. The form requires offerors to provide their Unique Entity Identification (UEI) number and affirm that their representations, certifications, and small business size status are current and complete in SAM (System for Award Management). This template does not contain specific technical specifications, detailed requirements, or award dates; those details are referenced as being contained in the accompanying RFQ Document.
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Text version
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 Proposal No. 472719 |
| High-Stability Unipolar Magnet Power Supply Systems |
| Attention: | Cassandra Smith |
| BSA Contractual Representative |
To whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Quotation No. dated , for the procurement, configuration, and delivery of High-Stability Unipolar Magnet Power Supply Systems.
Total Price: USD $_____________
Place of Manufacture: _____________
This price shall remain firm for (60) days.
The terms of delivery and payment are FOB Destination, Freight Prepaid (North American), DDP (International) Net 30 Days (Net 10 for Small Business).
Concurrence:
By signing this 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:________.
Company:
Signature:
Address:
Typed Name:
Address Line 2:
Title:
Telephone No.:
Date:
Date Printed 2/11/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .