B.1 Enclosure C. AMS-Form-043.docx
DOCX document 24 KB Posted
- Attached to
- Blazed Grating Packages
- Solicitation number
- 465146
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet for a solicitation by Brookhaven National Laboratory (BSA) for Blazed Grating Packages under Request for Quotation No. 465146. The solicitation is managed by Brookhaven Science Associates, LLC for the U.S. Department of Energy Office of Science, seeking three blazed grating packages with a milestone-based pricing structure.
The pricing sheet outlines five milestone payments, including approval of manufacturing plans, test procedures, factory acceptance reports, delivery of grating packages, and final documentation. The pricing terms specify a firm price period to be determined, with delivery terms of Delivered at Place and payment terms of Net 30 or 10 days. Vendors are required to complete the form by providing company details, signature, and agreeing to BSA's requirements and delivery schedule. The document was approved on 12/14/2020 and dated for printing on 8/4/2025.
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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. 465146 |
| Blazed Grating Packages |
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 three blazed grating packages |
| 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 .