B.1c_482829 - Enclosure C. AMS-Form-043 Quote Sheet.docx
DOCX document 76 KB Posted
- Solicitation number
- 482829
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation/Proposal Pricing Sheet (AMS-Form-043) template issued by Brookhaven National Laboratory for Request for Quotation/Proposal No. 482829, managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The solicitation, dated October 21, 2026, seeks an Oxford PlasmaLab 100 tool PLC upgrade or its equivalent. The buyer is Andrew S. Pascoe of the Procurement and Property Management Division.
Respondents must submit their total price in U.S. dollars, inclusive of all taxes, fees, customs, duties, and other charges, with the price remaining firm for 60 days. Delivery terms should specify either DAP or FOB Destination, with payment terms of Net 30 days for large or foreign businesses and Net 10 days for small businesses. Respondents must indicate the country of origin or place of manufacture and provide an export control point of contact with phone and email if the item originates outside the U.S. Offerors must certify whether the item is commercial or non-commercial, confirm their ability to meet the delivery timeline, acknowledge registration in SAM with current representations and certifications, and agree to BSA's terms and conditions. The form requires company name, authorized signature, contact information, SAM UEI number, and date of submission.
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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: 2.0
Effective Date: 9/15/2026
APPROVED BY:
Dedra Blood
Quotation/Proposal Pricing Sheet
| Reference: | BSA Request for Quotation/Proposal No. 482829 |
| Description: Oxford PlasmaLab 100 tool PLC upgrade or its Equivalent |
Attention: Buyer/Contract Specialist: Andrew S. Pascoe
To whom it may concern: In compliance with your letter of solicitation dated 21 October 2026, we submit our Quotation/Proposal No. ___________________________
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 60 days.
Delivery Terms are: [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/Proposal Pricing Sheet, our firm hereby acknowledges and agrees to BSA's requirements 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:
☐ Commercial item as defined in FAR 2.101 ☐ 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.
Certification: By signing this Quotation/Proposal Pricing Sheet, our firm hereby acknowledges and agrees to BSA's Terms and Conditions, as incorporated into the solicitation and attached documents.
| Company ____________________ |
| Signature __________________ |
| Email Address ________________ |
| Typed Name __________________ |
| SAM UEI #___________________ |
| Title _________________________ |
| Telephone No.(___)____________ |
| Date _________________________ |
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