B1 Enclosure C Quotation Pricing Sheet1.docx
DOCX document 28 KB Posted
- Attached to
- LT-SPM
- Solicitation number
- BSA475591
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation/Proposal Pricing Sheet template for Brookhaven National Laboratory's Request for Quotation No. 475591 regarding a Low-Temperature (LT) Scanning Probe Microscope (SPM). The form serves as the pricing submission document for vendors responding to this solicitation managed by Brookhaven Science Associates, LLC under the U.S. Department of Energy. Offerors must provide a total price in U.S. dollars inclusive of all taxes, fees, customs, duties, and other charges, with the price remaining firm for 90 days. Delivery terms are FOB Destination with Freight Prepaid, and payment terms are Net 30 days for Large or Foreign Businesses and Net 10 days for Small Businesses.
The pricing sheet requires vendors to confirm compliance with BSA's requirements, terms, conditions, and delivery schedules, and to certify current SAM registration and representations/certifications. Offerors must identify whether the item is a standard catalog item, modified catalog item, or non-commercial item, and confirm ability to meet the specified delivery timeline or provide an alternative delivery date. For items manufactured outside the U.S., vendors must provide country of origin, HTS code, and export control point of contact information. The document notes that BSA may disclose proposals to U.S. Government personnel and that offerors should reference the related solicitation BSA475591, which was reopened with a revised closing date of October 12, 2026, at 4:00 PM Eastern Time, reflecting a change in acquisition classification from commercial products to non-commercial items.
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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 .