B1 Enclosure C Quotation Pricing Sheet1.docx
DOCX document 28 KB Posted
- Solicitation number
- BSA475591
- Issued by
-
Department of Energy Office of Science
About this file
This is a quotation pricing sheet template for the Low-Temperature Scanning Probe Microscope (LT-SPM) integration solicitation. The document is a blank pricing template designed for vendors to submit cost proposals for the development and integration of a low-temperature scanning probe microscope system into an existing multiprobe UHV surface analysis system at the Department of Energy's Office of Science.
The pricing sheet template is structured to capture quotation costs associated with delivering the LT-SPM components and integration services, including the new SPM scanner, sample stage with additional electrical contacts, removable magnetic field assembly, internal electronics, wiring and cabling, UHV SPM chamber design and construction, system installation at the CFN facility, and performance testing on Au(111) crystal or graphite surfaces to demonstrate atomic resolution for both STM and AFM capabilities. As a template document, it does not contain completed pricing information or specific cost breakdowns, but rather serves as the standardized format through which responding contractors must present their financial proposals for evaluation by the Department of Energy.
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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. 475591 |
| Description: Low-Temperature (LT) Scanning Probe Microscope (SPM) |
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. ___________________________
| Description |
| Amount |
| Low-Temperature (LT) Scanning Probe Microscope (SPM) |
| TBD |
Total Price* $___TBD__________ *Must be in U.S. Dollars and inclusive of all taxes, fees, customs, duties and other charges.
This price shall remain firm for [90] days.
Delivery is FOB Destination, Freight Prepaid.
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 listed in the draft contract ? If yes, check this box: ☐ If not, please provide your forecasted delivery date(s): [insert delivery date or delivery table]
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 5/20/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .