B.1 Enclosure C, Quotation Pricing Sheet.docx
DOCX document 27 KB Posted
- Attached to
- Helium Reliquefication System
- Solicitation number
- 475213
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation/Proposal Pricing Sheet for Brookhaven National Laboratory's Request for Quotation No. 475213 regarding a Helium Reliquefication System. The form serves as a pricing template for vendors to submit their proposals in compliance with the solicitation requirements. Vendors must provide a total price in U.S. dollars that is inclusive of all taxes, fees, customs, duties, and other charges, with the price remaining firm for 90 days. The quotation must address three key deliverables: BSA receipt and acceptance of the final design report, BSA receipt and acceptance of Factory Acceptance Test documentation, and commissioning with BSA acceptance of the helium reliquefication system.
Offerors must confirm their commercial status (standard catalog item, modified catalog item, or non-commercial item), certify their ability to meet the delivery timeline, and provide country of origin or place of manufacture information. Vendors are required to be registered in SAM.gov with current representations and certifications, and must acknowledge their agreement to BSA's requirements, terms, conditions, and delivery schedule. The form indicates that delivery and payment terms are to be inserted from the Request for Quote document, and vendors with locations outside the United States must designate an Export Control Point of Contact with associated contact information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B.1 Enclosure A Draft Contract.pdf | ||
| B.1 Request for Quote.pdf | ||
| B.1 Enclosure A Draft Contract.pdf | ||
| B.1 Enclosure D Vendor ACH.pdf | ||
| B.1 Enclosure E W9.pdf | ||
| B.1 Enclosure B AMS Form 50.pdf | ||
| B.1 Enclosure F W8.pdf |
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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:
PPM Manager/Date
Quotation/Proposal Pricing Sheet
| Reference: | BSA Request for Quotation/Proposal No. 475213 |
| Description: Helium Reliquefication System |
Attention: Buyer/Contract Specialist: Jayce M. Blood
To whom it may concern: In compliance with your letter of solicitation dated [insert date], we submit our Quotation/Proposal No. ___________________________
| No. |
| Description |
| Amount |
| 1. |
| BSA receipt and acceptance of the final design report. |
| 2. |
| BSA receipt and acceptance of the Factory Acceptance Test documentation. |
| 3. |
| Commissioning and BSA acceptance of the helium reliquefication system. |
Total Price* $_____________ *Must be in U.S. Dollars and inclusive of all taxes, fees, customs, duties and other charges.
This price shall remain firm for 90 days.
Delivery is: [insert delivery term from Request for Quote] Payment terms are: [insert payment term from Request for Quote]
Country of Origin or Place of Manufacture: [insert place] *Item HTS CODE: [insert HTS code]
*Company’s Export Control Point of Contact (POC): [insert POC] *Phone #: [insert phone #] *Email Address: [insert email address] *Required if country of origin or manufacture is located outside of the U.S.
Concurrence:
By signing this Quotation/Proposal 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. We affirm we are registered in SAM and our representations and certifications as well as our small business size status (if applicable) are current and complete. Additionally, please certify the following:
Item commercial status. Check one of the following by clicking the ☐ next to the associated option:
☐ Standard catalog item ☐ Modified catalog item ☐ Non-commercial item
Can you meet delivery timeline? If yes, check this box: ☐ If not, please provide your forecasted delivery date: [insert delivery date]
Notice is hereby provided that BSA may disclose offeror proposals to U.S. Government personnel for review. In such case, BSA will furnish the proposal to the Government with any confidentiality legends included by the Offeror, but BSA is not responsible for any subsequent disclosure by the U.S. Government.
| Company ____________________ |
| Signature __________________ |
| Email Address ________________ |
| Typed Name __________________ |
| SAM UEI #___________________ |
| Title _________________________ |
| Telephone No.(___)____________ |
| Date _________________________ |
Date Printed 4/22/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .