B1 Enclosure C AMS-Form-043B Quotation Pricing Sheet.docx
DOCX document 24 KB Posted
- Attached to
- Pilatus4 S 2M CdTe 450hz
- Solicitation number
- BSA472150
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet for a solicitation by Brookhaven National Laboratory (BSA) for a PILATUS4 S 2M CdTe 450Hz module. The solicitation (BSA Request for Quotation No. 472150) is for the procurement of scientific detection modules, with payment structured across three milestones: 1) Approval of manufacturing program plan and design documentation, 2) Receipt and acceptance of CdTe modules and associated documentation, and 3) Commissioning of modules at Brookhaven National Laboratory.
The solicitation is managed by Brookhaven Science Associates, LLC under a contract with the U.S. Department of Energy Office of Science. The pricing sheet requires vendors to specify their manufacturing location, delivery terms (Delivered at Place), and payment terms (Net 30 or 10 days). Vendors must confirm their quote's validity period and agree to BSA's requirements, terms, conditions, and delivery schedule. The document was originally printed on 11/26/2025 and approved on 12/14/2020, indicating this is a relatively recent procurement opportunity for specialized scientific equipment.
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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. 472150 |
| PILATUS4 S 2M CdTe 450Hz |
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 solicitation.
| Item |
| Milestone |
| Amount |
| Cumulative Amount |
| 1 |
| Approval by BSA of the manufacturing Program Plan and BSA Receipt and Acceptance of the Design Engineering and Manufacturing Documentation |
| 2 |
| Receipt and BSA acceptance of the PILATUS4 S 2M CdTe modules and all Data/Reports/ Documentation |
| 3 |
| Commissioning of the PILATUS4 S 2M CdTe modules at BNL complete and accepted by BSA |
Total:
This price shall remain firm for [fill in # days] days.
Place of manufacturer: [fill in]
The terms of delivery and payment terms are Delivered at Place, Net [insert 30 or 10] 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 11/26/2025 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .