B.1c_481167 - Enclosure C. AMS-Form-043 Quote Sheet.docx
DOCX document 24 KB Posted
- Attached to
- Permanent Magnet Blocks
- Solicitation number
- 481167
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quote Sheet form (AMS-Form-043) serving as the pricing template for the Permanent Magnet Blocks solicitation issued by the Department of Energy Office of Science under Solicitation Number 481167. The form provides the standardized structure through which contractors must submit pricing for permanent magnet blocks intended for hybrid dipoles and quadrupoles. As a pricing template document, it establishes the required format and line items for cost proposals but does not itself contain substantive technical requirements, delivery schedules, or evaluation criteria—these details are contained in the associated Request for Quote (RFQ) and its supporting enclosures. Contractors responding to this solicitation must complete this form with their pricing information in accordance with the instructions and specifications provided in the overall RFQ package.
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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. 481167 |
| Permanent Magnet Blocks |
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973
| Attention: | Andrew S. Pascoe |
| Contracts Specialist |
To whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Quotation No. ___________________________ dated _______________, for the Permanent Magnet Blocks.
| Line |
| Description |
| Quantity |
| UoM |
| Unit Price |
| Extended Amount |
| 1 |
| Hybrid Dipole PM Blocks |
| 100 |
| Each |
| 2 |
| Hybrid Focusing & Defocusing PM Blocks: |
| 68 |
| Each |
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 [fill in # days] days.
The terms of delivery terms: [Insert either DAP or FOB Destination] Payment terms are Net 30 (Large or Foreign Businesses), Net 10 (Small Businesses) Days.
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 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 7/15/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .