B.1 Enclosure C. AMS-Form-043.docx
DOCX document 24 KB Posted
- Attached to
- Low Line Density Grating
- Solicitation number
- 465122
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet for a Low Line Density Grating solicitation (RFQ No. 465122) issued by Brookhaven National Laboratory, managed by Brookhaven Science Associates, LLC under a Department of Energy contract. The pricing sheet outlines a five-milestone payment structure for procuring a Low Line Density Grating, with payments contingent upon specific deliverables including manufacturing/inspection/test plan approval, acceptance test procedure, factory acceptance test report, grating receipt and acceptance, and final documentation package review.
The solicitation involves a competitive quotation process with specific pricing and delivery terms. Vendors are required to submit a quotation with a firm pricing commitment for a specified number of days, with delivery terms set as Delivered at Place and payment terms of Net 10 or 30 days. The opportunity is directly associated with the Department of Energy Office of Science, with the solicitation seeking a specialized scientific instrument or component. The document provides a structured template for vendors to respond, including spaces for company information, signature, contact details, and formal acknowledgment of BSA's requirements and delivery schedule.
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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. 465122 |
| Low Line Density Grating |
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 Low Line Density Grating |
| 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 8/4/2025 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .