C. Quotation Pricing Sheet.pdf
PDF 138 KB Posted
- Attached to
- Ductless Splitt AC Unit
- Solicitation number
- IO474359
- 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 for a Ductless Split AC Unit. The form is associated with BSA Request for Quotation No. IO474359, dated 1/12/2026, and was approved on 12/14/2020. The pricing sheet includes standard terms of delivery and payment as FOB Destination with Net 30 Days payment terms, and the quoted price is to remain firm for 30 days. The document provides a template for a vendor to complete, requiring company details, signature, and acknowledgment of Brookhaven Science Associates' (BSA) requirements, terms, conditions, and delivery schedule.
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Text version
Date Printed 1/12/2026 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. IO474359
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 1/12/26 we submit our Quotation No. ___________________________ dated _______________, for Ductless Split AC Unit.
Total Price $_____________
This price shall remain firm for 30 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 _________________________
Email: _______________________ Date _________________________
Concurrence:
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