B1 Enclosure C_AMS Form 043 Quotation Pricing Sheet.docx
DOCX document 24 KB Posted
- Attached to
- Bluefors System Wires
- Solicitation number
- BSA467962
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet for a Brookhaven National Laboratory solicitation (Request for Quotation No. 467962) for Bluefors System Wires. The procurement is being managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The opportunity involves acquiring specialized wire and flange components for a scientific installation, including DC and RF installation sets with specific technical requirements such as KF40 and CF40 flanges, Fischer connectors, twisted wire pairs, and semi-rigid coaxial lines.
The pricing sheet provides a template for vendors to submit their quotation, with placeholders for total price, delivery terms, manufacturing location, and company details. The document indicates the pricing will remain firm for a specified number of days, with payment terms of Net 10 or 30 Days and delivery specified as FOB Destination or DAP. The solicitation is currently in a pre-solicitation state and is associated with the Department of Energy Office of Science, with the opportunity focused on upgrading and installing specialized scientific wiring and connection systems.
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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. 467962 |
| Bluefors System Wires or equivalent |
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973
| Attention: | Mark Brock |
| Subcontracts Supervisor |
To whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Quotation No. ___________________________ dated _______________, for the referenced Combined Synopsis/Request for Quote.
| Item |
| Milestone |
| Amount |
| Funded Amount |
| 1 |
| Receipt of all items |
Total Price $_____________
This price shall remain firm for [fill in # days] days.
The terms of delivery and payment terms are [insert FOB Destination or DAP], Net [insert 10 or 30] Days.
Place of Manufacture: [insert place of manufacture].
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 1/8/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .