B.1_477787 - Enclosure C_Quotation Pricing Sheet.docx

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Attached to
RFQ - AIR-COOLED, SWITCHED-MODE DIPOLE MAGNET POWER SUPPLY SYSTEMS WITH EMBEDDED DIGITAL CONTROL AND DCCT FEEBACK
Solicitation number
477787
Issued by

About this file

This is a Quotation Pricing Sheet template for Brookhaven Science Associates, LLC (BSA), operator of Brookhaven National Laboratory under a U.S. Department of Energy prime contract, soliciting quotes for air-cooled, switched-mode dipole magnet power supply systems with embedded digital control and DCCT feedback for domestic use.

Offerors must complete this form to submit pricing in U.S. Dollars, with prices remaining firm for sixty (60) days following submission. The quote must include the place of manufacture, as this requirement is subject to the Buy American Act under FAR Part 25. Anticipated freight terms are FOB Destination, Freight Prepaid for domestic suppliers or Delivered Duty Paid for international suppliers, with payment terms of Net 30 Days (Net 10 for small businesses). By signing the pricing sheet, offerors acknowledge compliance with BSA's requirements, terms, conditions, and delivery schedule. Offerors must provide their SAM.gov Unique Entity Identification (UEI) number and affirm that their representations, certifications, and business size status are current and complete in SAM.gov. Foreign offerors not registered in SAM must submit the AMS-Form-050 Annual Representations and Certifications, and non-small businesses expecting to submit offers exceeding $900,000 must provide a Small Business Subcontracting Plan.

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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 Quote No. 477787
Air-Cooled, Switched-Mode Dipole Magnet Power Supply Systems with Embedded Digital Control and DCCT Feedback
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 referenced power supply systems.

Total Price: USD $_____________

Place of Manufacture: _____________

This price shall remain firm for (60) days.

Anticipated 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.gov and our representations and certifications, as well as our business size status, are current and complete. The UEI number associated with our SAM.gov profile is:________.

Company:

Signature:

Address:

Typed Name:

Address Line 2:

Title:

Telephone No.:

Date:

Date Printed 7/7/2026 1 of 1 Date Approved 12/14/2020

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