B.1 Enclosure C. AMS-Form-043.docx
DOCX document 24 KB Posted
- Attached to
- INSPIRE Spectrometer Vertical Focusing Mirror
- Solicitation number
- 463915
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet from Brookhaven National Laboratory (BNL) for a Spectrometer Vertical Focusing Mirror solicitation (Request for Quotation No. 463915). The document outlines a five-milestone pricing structure for procuring a spectrometer component, with each milestone tied to specific deliverables such as manufacturing plans, acceptance test procedures, factory acceptance reports, and final mirror delivery. The pricing sheet is part of a procurement effort by Brookhaven Science Associates, LLC, managed under a contract with the U.S. Department of Energy Office of Science.
The pricing sheet includes standard commercial terms, with pricing to remain firm for an unspecified number of days and delivery terms set as "Delivered at Place" with net payment terms of either 10 or 30 days. The document requires potential vendors to complete company details, sign the form, and acknowledge BNL's requirements and delivery schedule. The solicitation is specifically for a vertical focusing mirror component, likely for a scientific research instrument, with the document dated for printing on 6/27/2025 and originally approved on 12/14/2020.
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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 Quotation No. 463915 |
| Spectrometer Vertical Focusing Mirror |
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 referenced solicitation.
| Item |
| Milestone |
| Amount |
| Cumulative Amount |
| 1 |
| Receipt and Approval by BSA of the Manufacturing/ Inspection/Test Plan |
| 2 |
| Receipt and Approval by BSA of the Acceptance Test Procedure |
| 3 |
| Receipt and Approval by BSA of the Factory Acceptance Test Report and Test Certificates |
| 4 |
| Receipt and acceptance of the Spectrometer Vertical Focusing Mirror |
| 5 |
| BSA Receipt and Approval of the End Item Documentation Package |
Total:
This price shall remain firm for [fill in # days] days.
The terms of delivery and payment terms are Delivered at Place, Net [insert 30 or 10] Days.
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 6/27/2025 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .