B1 Enclosure C_AMS Form 043 Quotation Pricing Sheet.docx

This is a Quotation Pricing Sheet template (AMS Form 043) issued by Brookhaven Science Associates, LLC on behalf of Brookhaven National Laboratory under Department of Energy contract authority. The form is designed for vendors to submit pricing in response to Request for Quotation No. 467962 for Bluefors System Wires or equivalent products. The quotation requires vendors to provide a total price for receipt of all items as a single milestone deliverable, with the pricing remaining firm for a specified number of days to be filled in by the vendor. Delivery and payment terms are to be negotiated, with options for FOB Destination or DAP arrangements and Net 10 or Net 30 payment terms, with the place of manufacture to be identified by the vendor.

By executing this pricing sheet, vendors acknowledge acceptance of BSA's requirements, terms and conditions, and delivery schedule, and commit to provide necessary resources to meet the specified delivery timeline. The form requires standard vendor information including company name, signature of an authorized representative, address, contact information, and date of submission. Quotations should be submitted to Mark Brock, Subcontracts Supervisor, at Brookhaven National Laboratory, Upton, New York. This is a template document and does not contain specific response deadlines, award dates, or pricing information.