C. Quatation Pricing Sheet.pdf

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Karcher Vacuum Pack and Accessories
Solicitation number
IO478578
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Summary

This is a Quotation Pricing Sheet template (Form AMS-Form-043, Revision 0.1) issued by Brookhaven National Laboratory, managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The form is designed for vendors responding to BSA Request for Quotation No. 478578. The template serves as a standardized response document for contractors to submit pricing and acknowledge BSA's requirements.

Respondents must provide their quotation number and date, the total price for the solicited items or services, and the duration for which the quoted price remains firm. The standard payment terms are FOB Destination with Net 30 Days payment. By signing the form, vendors acknowledge and agree to comply with BSA's requirements, terms and conditions, delivery schedule, and commit to providing necessary resources to meet BSA's delivery timeline. Required signature block information includes company name, address, telephone number, authorized signature, typed name, title, and date. The form was approved on December 14, 2020 by L. McKnight, PPM Manager, and is a template rather than a specific solicitation with defined products or services.

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Date Printed 5/1/2026 1 of 1 Date Approved 12/14/2020

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:

L. McKnight / 12/14/2020

PPM Manager/Date

Quotation Pricing Sheet Reference: BSA Request for Quotation No.: 478578

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.

Concurrence:

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 .