B.1 Enclosure C. Quotation Price Sheet.docx
DOCX document 24 KB Posted
- Attached to
- M-Drive Power System
- Solicitation number
- 473749
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template issued by Brookhaven National Laboratory (managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy) for Request for Quotation No. 473749 regarding an M-Drive Power System. The template requires vendors to submit pricing for one line item: 20 units of LT-EL-BL-PD-PDU-0101_REV-A at a unit price and extended amount to be filled in by the quoter. The submission must include the quotation number, date of quotation, total price, and firm price validity period (number of days to be specified by the vendor).
Vendors must complete additional terms including delivery terms (either DAP or FOB Destination), payment terms (either Net 30 Days or Net 10 Days for small businesses), and place of manufacture. By signing the form, vendors acknowledge and agree to Brookhaven Science Associates' requirements, terms and conditions, delivery schedule, and commit to providing necessary resources to meet the specified delivery schedule. The quotation should be submitted to Jayce M. Blood, Subcontracts Manager, at Brookhaven National Laboratory, P.O. Box 5000, Building 101, Upton, NY 11973.
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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. 473749 |
| M-Drive Power System |
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 M-Drive Power System.
| Line |
| Description |
| Quantity |
| UoM |
| Unit Price |
| Extended Amount |
| 1 |
| LT-EL-BL-PD-PDU-0101_REV-A |
| 20 |
| Each |
Total Price $_____________
This price shall remain firm for [fill in # days] days.
The terms of delivery terms: [Insert either DAP or FOB Destination]
The payment terms are: [Insert Net 30 Days or net 10 Days for small businesses]
The place of manufacture is: [Insert place of manufacture]
Concurrence:
By signing this Quotation Pricing Sheet, our firm hereby acknowledges and agrees to BSA's requirements, terms and conditions, 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 1/16/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .