C. Quotation Pricing Sheet AMS 43.docx

This is a Quotation Pricing Sheet template (AMS Form 043) issued by Brookhaven National Laboratory for Request for Quotation No. MH480553. The form is designed to collect pricing information from vendors responding to the solicitation for the purchase and on-site installation of a Lift-Out Shuttle (model SY-LOS+-001). Vendors are required to provide separate line-item pricing for materials and labor/installation costs, with a combined total price. The form specifies that quoted prices must remain firm for sixty (60) days, delivery terms are FOB Destination with Net 30 payment terms, and a minimum one-year manufacturer warranty is required for both materials and installation. Lead time and place of manufacture must also be identified by the responding contractor.

By submitting this form, vendors acknowledge and agree to BSA's requirements, terms and conditions, delivery schedule, and confirm their ability to provide necessary resources to meet delivery obligations. The form requires signature and concurrence from an authorized company representative, including contact information, title, and date of submission. This template was approved on December 14, 2020, and is managed by the Procurement and Property Management Division at Brookhaven Science Associates, LLC, which operates under contract to the U.S. Department of Energy Office of Science.