B.1 Enclosure 6 Quotation Pricing Sheet.docx

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Attached to
Experimental Endstation Clean Room Cabin
Solicitation number
470387
Issued by

About this file

This is a Quotation Pricing Sheet template issued by Brookhaven National Laboratory (managed by Brookhaven Science Associates, LLC under the U.S. Department of Energy) for Request for Quotation No. 470387 regarding an Experimental Endstation Clean Room Cabin. The document serves as a standardized form for vendors to submit pricing proposals in response to the solicitation, requiring contractors to fill in specific information including their quotation number, submission date, total price, price validity period (in days), delivery terms (either FOB Destination or Freight Prepaid DAP), and payment terms (Net 30 Days for large businesses or Net 10 Days for small businesses). Contractors must also designate the place of manufacture and provide their company information, authorized signature, contact details, and submission date.

By executing this pricing sheet, vendors acknowledge and agree to comply with Brookhaven Science Associates' requirements, terms and conditions, and delivery schedule, and commit to providing necessary resources to meet the specified delivery timeline. The form was approved on December 14, 2020 (Revision 0.1) and includes fields for all essential commercial terms, with submission directed to Jayce M. Blood, Subcontracts Manager, at Brookhaven National Laboratory in Upton, New York.

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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 Quotation No. 470387
Experimental Endstation Clean Room Cabin

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973

Attention:Jayce M. Blood
Subcontracts Manager

To whom it may concern:

In compliance with your letter of solicitation dated [insert date], we submit our Quotation No. ___________________________ dated _______________, for the Experimental Endstation Clean Room Cabin.

Total Price $_____________

This price shall remain firm for [fill in # days] days.

The terms of delivery: [input either FOB Destination or Freight Prepaid DAP]

The payment terms: [input Net 30 Days for large business or Net 10 Days for small business.]

Place of Manufacture: [input location]

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.

Company _____________________
Signature _____________________
Address ______________________
Typed Name __________________
______________________________
Title _________________________
Telephone No.___(___)__________
Date _________________________

Date Printed 1/20/2026 1 of 1 Date Approved 12/14/2020

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