C. Quation Prising Sheet IO470120.pdf
PDF 165 KB Posted
- Solicitation number
- IO470120
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet from Brookhaven National Laboratory's Procurement and Property Management Division, issued under the Acquisition Management System. The form (AMS-Form-043, Revision 0.1) is for a Request for Quotation (RFQ) numbered IO470120, managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The form provides a template for vendors to submit pricing and agreement to delivery terms, with standard commercial pricing conditions including FOB Destination and Net 30 Days payment terms. The document was approved on 12/14/2020 by L. McKnight and printed on 9/11/2025, indicating a future-dated form preparation.
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Date Printed 9/11/2025 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.: IO470120
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:
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