B.1c_482922 - Enclosure C. AMS-Form-043 Quote Sheet.docx
DOCX document 25 KB Posted
- Attached to
- X-Ray Mirrors - Blanket Ordering Agreement (BOA)
- Solicitation number
- 482922
- Issued by
-
Department of Energy Office of Science
About this file
This is an AMS-Form-043 Quotation Pricing Sheet for Brookhaven National Laboratory's Request for Quotation (RFQ) No. 482922 for X-Ray Mirrors under a Blanket Ordering Agreement (BOA). Quotations are due in response to the solicitation dated September 9, 2026. The BOA covers a five-year period with pricing structured by year, requiring offerors to provide unit prices in U.S. Dollars for three primary categories: Plane (Flat) Mirrors, Spherical/Cylindrical (Constant-Radius) Mirrors, and Miscellaneous/Additional items (measured in units of "Each"). All prices must remain firm for 60 days and be inclusive of all taxes, fees, customs, duties, and other charges.
Delivery terms are FOB Destination, with payment terms of Net 30 days for large or foreign businesses and Net 10 days for small businesses. Quotations must include the country of origin or place of manufacture, and if located outside the U.S., offerors must provide the HTS code and export control point of contact information including phone number and email address. Quotations should be submitted to Andrew S. Pascoe, Contracts Specialist, at Brookhaven Science Associates, LLC, with inquiries directed to apasoce@bnl.gov. By submitting the pricing sheet, offerors acknowledge acceptance of BSA's requirements, terms, conditions, and delivery schedule.
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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. 482922 |
| X-Ray Mirrors – Blanket Ordering Agreement (BOA) |
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 9 September 2026, we submit our Quotation No. ___________________________ dated _______________, for the X-Ray Mirrors Blanket Ordering Agreement (BOA).
Year 1
| BOA Category |
| Description |
| Unit of Measure |
| Unit Price |
| A |
| Plane (Flat) Mirrors |
| Each |
| B |
| Spherical/Cylindrical (Constant-Radius) Mirrors |
| Each |
| C |
| Miscellaneous / Additional |
(Offeror is to add any additional categories as needed) Each
Year 2
| BOA Category |
| Description |
| Unit of Measure |
| Unit Price |
| A |
| Plane (Flat) Mirrors |
| Each |
| B |
| Spherical/Cylindrical (Constant-Radius) Mirrors |
| Each |
| C |
| Miscellaneous / Additional |
Each
Year 3
| BOA Category |
| Description |
| Unit of Measure |
| Unit Price |
| A |
| Plane (Flat) Mirrors |
| Each |
| B |
| Spherical/Cylindrical (Constant-Radius) Mirrors |
| Each |
| C |
| Miscellaneous / Additional |
Each
Year 4
| BOA Category |
| Description |
| Unit of Measure |
| Unit Price |
| A |
| Plane (Flat) Mirrors |
| Each |
| B |
| Spherical/Cylindrical (Constant-Radius) Mirrors |
| Each |
| C |
| Miscellaneous / Additional |
Each
Year 5
| BOA Category |
| Description |
| Unit of Measure |
| Unit Price |
| A |
| Plane (Flat) Mirrors |
| Each |
| B |
| Spherical/Cylindrical (Constant-Radius) Mirrors |
| Each |
| C |
| Miscellaneous / Additional |
Each
These prices shall remain firm for 60 days. Unit Prices must be in U.S. Dollars and inclusive of all taxes, fees, customs, duties and other charges.
The terms of delivery terms: 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 9/9/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .