C. Quation Pricing Sheet IO459189.pdf
PDF 168 KB Posted
- Attached to
- Quincy Compressed Air Dryer
- Solicitation number
- IO459189
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template (Form No. AMS-Form-043, Revision 0.1) from Brookhaven National Laboratory's Procurement and Property Management Division, referencing BSA Request for Quotation No. 459189.
The form is designed to capture vendor quotation details for the procurement of Quincy QED-150 Compressed Air Dryers (quantity 2, no substitutions). It includes fields for pricing, quotation number, delivery terms (FOB Destination), payment terms (Net 30 Days), and price validity period. The form requires vendor information including company name, address, telephone number, authorized signature, and title. The document was approved by L. McKnight (PPM Manager) on 12/14/2020 and printed on 2/3/2025. The vendor must acknowledge and agree to BSA's requirements, terms and conditions, and delivery schedule by signing the concurrence section.
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Text version
Date Printed 2/3/2025 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.: 459189
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 .