C.pdf
PDF 206 KB Posted
- Attached to
- Low Background Smear Counter
- Solicitation number
- IO484659
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation/Proposal Pricing Sheet (AMS-Form-043) issued by Brookhaven National Laboratory, managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The solicitation references BSA Request for Quotation/Proposal No. IO484659 for a Low Background Smear Counter. The buyer/contract specialist is Ildiko Orlando.
Offerors must submit pricing in U.S. dollars inclusive of all taxes, fees, customs, duties, and other charges. Delivery is FOB Destination with payment terms of Net 30 days for large or foreign businesses and Net 10 days for small businesses. Offerors must specify the price firm period in days and indicate country of origin or place of manufacture. If the item is manufactured outside the United States, offerors must provide the Harmonized Tariff Schedule (HTS) code and company export control point of contact information including phone number and email address. Offerors must certify whether the item is commercial or non-commercial per FAR 2.101, confirm ability to meet the delivery timeline, and affirm current registration in SAM with current representations, certifications, and small business size status if applicable. By signature, offerors acknowledge agreement to BSA's requirements, delivery schedule, and terms and conditions incorporated into the solicitation. Offerors should be aware that BSA may disclose proposals to U.S. Government personnel for review with any confidentiality legends included, though BSA is not responsible for subsequent government disclosure.
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Text version
Date Printed 10/20/2026 1 of 2
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: 2.0
Effective Date: 9/15/2026
APPROVED BY:
Dedra Blood
Quotation/Proposal Pricing Sheet Reference: BSA Request for Quotation/Proposal No. IO484659 Description: Low Background Smear Counter
Attention: Buyer/Contract Specialist: Ildiko Orlando
To whom it may concern: In compliance with your letter of solicitation dated ___________, we submit our Quotation/Proposal No: IO484659.
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_________________ days.
Delivery is FOB Destination.
Payment terms are Net 30 (Large or Foreign Businesses), Net 10 (Small Businesses) Days.
Country of Origin or Place of Manufacture:__________________ *Item HTS CODE: _____________
*Company’s Export Control Point of Contact (POC): __________________
*Phone #: ___________________ *Email Address: _________________
*Required if country of origin or manufacture is located outside of the U.S.
Date Printed 10/20/2026 2 of 2
Concurrence:
By signing this Quotation/Proposal Pricing Sheet, our firm hereby acknowledges and agrees to BSA's requirements 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:
☐ Commercial item as defined in FAR 2.101 ☐ Non-commercial item
Can you meet delivery timeline? If yes, check this box: ☐ If not, please provide your forecasted delivery date: _______________________________
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.
Certification: By signing this Quotation/Proposal Pricing Sheet, our firm hereby acknowledges and agrees to BSA's Terms and Conditions, as incorporated into the solicitation and attached documents.
Company ____________________ Signature __________________
Email Address ________________ Typed Name __________________
SAM UEI #___________________ Title _________________________
Telephone No.(___)____________ Date _________________________
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