B1 Enclosure C Quotation Pricing Sheet.docx
DOCX document 27 KB Posted
- Attached to
- Milli-Kelvin Scanning Probe Microscope
- Solicitation number
- BSA473768
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation/Proposal Pricing Sheet template for Brookhaven Science Associates (BSA) Request for Quotation/Proposal No. 473768 regarding procurement of a milli-Kelvin Scanning Probe Microscope. The form requires vendors to submit pricing proposals in U.S. dollars inclusive of all taxes, fees, customs, duties, and other charges, with a firm price period to be specified by the offeror. Delivery is FOB Destination or DAP with payment terms of Net 30 days for large or foreign businesses and Net 10 days for small businesses.
The solicitation establishes a structured delivery and acceptance schedule spanning 92 weeks from award, with key milestones including: Final Technical Design Approval (week 12), Factory Acceptance Test Report (week 75), Delivery to BNL (week 80), Commissioning of Instrument (week 90), Training on Instrument (week 90), and Delivery of End Item Documentation Package (week 92). Offerors must certify their commercial item status (standard catalog, modified catalog, or non-commercial), confirm ability to meet the delivery timeline, provide country of origin and HTS codes if manufactured outside the U.S., designate an export control point of contact, and confirm current SAM registration and current representations and certifications. The form is a template requiring vendors to insert specific dates, quotation numbers, total pricing, firm price duration, delivery dates if unable to meet timeline, and company information.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| B1 473768 Solicitation.pdf | ||
| B1 Enclosure B AMS-FORM-050.pdf | ||
| B1 Enclosure E_W9 Form.pdf | ||
| B1 Enclosure D ACH Authorization Form.pdf | ||
| B1 Enclosure F_W8 Form.pdf | ||
| B1 Enclosure A Draft Contract.pdf |
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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:
PPM Manager/Date
Quotation/Proposal Pricing Sheet
| Reference: | Brookhaven Science Associates (BSA) Request for Quotation/Proposal No. 473768 |
| Description: milli-Kelvin Scanning Probe Microscope |
Attention: Buyer/Contract Specialist: Mark Brock
To whom it may concern: In compliance with your letter of solicitation dated [insert date], we submit our Quotation/Proposal No. ___________________________
| Milestone |
| Estimated Calendar Weeks after award |
| Amount |
| BSA receipt and acceptance of Final Technical Design Approved |
| 12th week |
| BSA receipt and acceptance of Factory Acceptance Test Report |
| 75th week |
| BSA receipt and acceptance of Delivery to BNL |
| 80th week |
| BSA receipt and acceptance of Commissioning of Instrument |
| 90th week |
| BSA receipt and acceptance of Training on Instrument |
| 90th week |
| BSA receipt and acceptance of Delivery of End Item Documentation Package |
| 92nd week |
Total Price* $_____________ *Must be in U.S. Dollars and inclusive of all taxes, fees, customs, duties and other charges.
This price shall remain firm for [insert number of days] days.
Delivery is FOB Destination or DAP.
Payment terms are Net 30 (Large or Foreign Businesses), Net 10 (Small Businesses) Days.
Country of Origin or Place of Manufacture: [insert place] *Item HTS CODE: [insert HTS code]
*Company’s Export Control Point of Contact (POC): [insert POC] *Phone #: [insert phone #] *Email Address: [insert email address] *Required if country of origin or manufacture is located outside of the U.S.
Concurrence:
By signing this Quotation/Proposal 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. We affirm we are registered in SAM and our representations and certifications as well as our small business size status (if applicable) are current and complete. Additionally, please certify the following:
Item commercial status. Check one of the following by clicking the ☐ next to the associated option:
☐ Standard catalog item ☐ Modified catalog item ☐ Non-commercial item
Can you meet delivery timeline? If yes, check this box: ☐ If not, please provide your forecasted delivery date: [insert delivery date]
Notice is hereby provided that BSA may disclose offeror proposals to U.S. Government personnel for review. In such case, BSA will furnish the proposal to the Government with any confidentiality legends included by the Offeror, but BSA is not responsible for any subsequent disclosure by the U.S. Government.
| Company ____________________ |
| Signature __________________ |
| Email Address ________________ |
| Typed Name __________________ |
| SAM UEI #___________________ |
| Title _________________________ |
| Telephone No.(___)____________ |
| Date _________________________ |
Date Printed 3/17/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .