C- AMS 43 Quotation Pricing Sheet.pdf

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Attached to
Odyssey Split System
Solicitation number
IO458794
Issued by

About this file

This is a Quotation Pricing Sheet template (Form No. AMS-Form-043) from Brookhaven National Laboratory's Procurement and Property Management Division, referencing BSA Request for Quotation No. 458794. The form is designed for vendors to submit pricing information to Brookhaven Science Associates, LLC, which manages Brookhaven National Laboratory under contract to the U.S. Department of Energy.

The form requires vendors to provide total price, price validity period, and includes standard payment terms of FOB Destination, Net 30 Days. It contains fields for company information, authorized signature, and contact details. The form includes a concurrence statement where vendors acknowledge and agree to BSA's requirements, terms and conditions, and delivery schedule. The document was approved by L. McKnight on 12/14/2020 and is revision 0.1 of the form.

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Other files

File Type Posted
A - Draft Purchase Order.PDF PDF
Request for Quote.pdf PDF
F - W8 Form.pdf PDF
D - Vendor ACH.pdf PDF
E - New W9 form.pdf PDF
B - AMS 50 Reps and Certs.pdf PDF

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Date Printed 1/10/2025 1 of 1 Date Approved 12/14/2020

457465PROCUREMENT 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.: 458794

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg.

Upton, NY 11973

Attention:

To whom it may concern:

In compliance with your letter of solicitation dated ___________________, we submit our Quotation No.

___________________________ dated _______________, for _____________________________________.

Total Price $_____________

This price shall remain firm for _________________days.

The terms of delivery and payment terms are FOB Destination, Net 30 Days.

0BConcurrence:

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 _________________________

Concurrence:

File details come from the government source that posted it. Updated .