B1. Enclosure C AMS-043.pdf
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- Solicitation number
- AH478133
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet (AMS-Form-043) issued by Brookhaven National Laboratory's Procurement and Property Management Division for BSA Request for Quotation No. AH478133, dated May 11, 2026. The quotation is for DUNE AB EC Kemet electronic components with no substitutes permitted.
The solicitation requires pricing for nine line items consisting of three KEMET capacitor models and one resistor model. Line items 1-5 specify KEMET C2225C392JGGACTU capacitors in quantities ranging from 45,500 to 46,000 each. Line items 6-8 specify KEMET C2220C562JFGACTU capacitors in quantities of 29,500, 77,500, and 72,000 units respectively. Line item 9 requests 704 units of KEMET R76UR31004030J resistors. All items are priced in each (EA) units with blank fields for unit prices and merchandise amounts to be completed by the supplier. The quotation requires a total firm fixed price, lead time, and country of origin. Pricing shall remain firm for 60 days, with delivery and payment terms specified as FOB Destination, Freight Prepaid, Net 30 Days. By signing the form, the vendor acknowledges agreement to BSA's requirements, terms and conditions, and delivery schedules and commits to providing necessary resources to meet those schedules.
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Enclosure B
Date Printed 5/11/2026 1 of 3 Date Approved 12/14/2020
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. AH478133 DUNE AB EC Kemet *No Substitutes*
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973
Attention: Aaron Hagler Buyer I
To whom it may concern:
In compliance with your letter of solicitation dated 5/11/2026, we submit our Quotation No.
___________________________ dated _______________, for [DUNE AB EC Kemet *No Substitutes*].
Line Item Description QTY UOM
Unit Price Merchandise Amount
1 KEMET C2225C392JGGACTU 45500.0000 EA
2 KEMET C2225C392JGGACTU 46000.0000 EA
3 KEMET C2225C392JGGACTU 45500.0000 EA
4 KEMET C2225C392JGGACTU 46000.0000 EA
5 KEMET C2225C392JGGACTU 46000.0000 EA
6 KEMET C2220C562JFGACTU 29500.0000 EA
7 KEMET C2220C562JFGACTU 77500.0000 EA
8 KEMET C2220C562JFGACTU 72000.0000 EA
9 KEMET R76UR31004030J 704.0000 EA
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Date Printed 5/11/2026 2 of 3 Date Approved 12/14/2020
Total Firm Fixed Price $_____________
Lead Time ______________
Country of Origin _________________
This price shall remain firm for [60] days.
The terms of delivery and payment terms are FOB Destination, Freight Prepaid, Net 30 Days.
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 5/11/2026 3 of 3 Date Approved 12/14/2020
Concurrence:
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