B1. Enclosure C AMS-043.pdf
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- Attached to
- Maskless Optical Writer *No Substitutes*
- Solicitation number
- AH477809
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet template issued by Brookhaven National Laboratory (managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy) for BSA Request for Quotation No. AH477809. The solicitation requests quotations for one Maskless Optical Writer with no substitutes permitted. The form is addressed to Aaron Hagler, Buyer I, at Brookhaven National Laboratory in Upton, New York.
Vendors responding to this RFQ must complete the pricing sheet by entering a quotation number, date, unit price, and total firm fixed price for the single line item. The quotation must include the lead time for delivery and country of origin. Pricing terms specify FOB Destination with Freight Prepaid and Net 30 Days payment terms. The quoted price must remain firm for 60 days from submission. By signing the concurrence section, the vendor acknowledges agreement to BSA's requirements, terms and conditions, and delivery schedule. This template was approved on 12/14/2020 and printed on 6/2/2026, and represents page 1 of 3 of the complete solicitation package.
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Text version
Enclosure B
Date Printed 6/2/2026 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. AH477809 Maskless Optical Writer *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 6/02/2026, we submit our Quotation No.
___________________________ dated _______________, for [Maskless Optical Writer *No Substitutes*].
Line Item Description QTY UOM Unit Price Merchandise Amount
1 Maskless Optical Writer 1 EA javascript:submitAction_win0(document.win0,'BNL_WEB_REQ_LNE$srt4$0');
javascript:submitAction_win0(document.win0,'BNL_WEB_REQ_LNE$srt5$0');
Enclosure B
Date Printed 6/2/2026 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 _________________________
Concurrence:
File details come from the government source that posted it. Updated .