C. AMS 43 Quotation Pricing Sheet.pdf
PDF 168 KB Posted
- Attached to
- Network/Telecom Equipment
- Solicitation number
- IO458784
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template (Form No. AMS-Form-043) from Brookhaven National Laboratory (BNL), managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The form references BSA Request for Quotation No. 458784 for network/telecom equipment including GSTAR004 iSTAR Edge G2 readers, RM-4E Enhanced boards, and WVL-ET20-3PS devices.
The template includes standard terms of FOB Destination with Net 30 Days payment terms. Vendors must provide their total price quote, confirm the number of days the price will remain firm, and acknowledge BSA's requirements, terms, conditions, and delivery schedule through signature. The form requires company information including name, address, telephone number, authorized signature, and title of signing official. The form was approved by L. McKnight (PPM Manager) on 12/14/2020 with revision number 0.1.
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| B. AMS 50 Reps and Certs.pdf | ||
| E. New W9 form.pdf | ||
| Request for Quote.pdf | ||
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| D. BankInformation.pdf | ||
| F. Form W-8BEN-E (Rev. October 2021).pdf |
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Text version
Date Printed 1/15/2025 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.: 458784
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 .