B1 Enclosure C Quotation Pricing Sheet.docx
DOCX document 27 KB Posted
- Attached to
- Dilution Refrigerator
- Solicitation number
- BSA476517
- 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. 476517 for a Dilution Refrigerator, an ultralow temperature quantum materials/devices measurement system intended for the Center for Functional Nanomaterials and the Codesign Center for Quantum Advantage at Brookhaven National Laboratory under the Department of Energy Office of Science. The pricing sheet establishes a milestone-based payment structure with eight key deliverables: Preliminary Technical Design, Final Technical Design, Factory Acceptance Test Report, Installation Work Plan/Job Hazard Analysis, Delivery to BNL, Commissioning, Training, and End Item Documentation Package.
Quotations must be submitted in U.S. dollars and include all taxes, fees, customs, duties, and other charges, with pricing remaining firm for 90 days. Delivery terms are FOB Destination, Freight Prepaid, with payment terms of Net 30 days for large or foreign businesses and Net 10 days for small businesses. Respondents must confirm their ability to meet the delivery timeline or provide alternative forecasted delivery dates, verify current SAM registration, certify commercial item status (standard catalog, modified catalog, or non-commercial), and identify the country of origin/place of manufacture along with required export control information if applicable. The form requires company signature, authorized representative information, and SAM UEI number to acknowledge compliance with BSA requirements, terms, conditions, and delivery schedule.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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. 476517 |
| Description: Dilution Refrigerator |
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 |
| Amount |
BSA receipt and acceptance of Preliminary Technical Design Submitted
BSA receipt and acceptance of Final Technical Design Approved
BSA receipt and acceptance of Factory Acceptance Test Report
BSA receipt and acceptance of Installation Work Plan, JHA
BSA receipt and acceptance of Delivery to BNL
BSA receipt and acceptance of Commissioning of instrument
BSA receipt and acceptance of Training on instrument
BSA receipt and acceptance of Delivery of End Item Documentation Package
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 [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 4/17/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .