Enclosure C AMS-043 PO-1.pdf

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Duo Security Software
Solicitation number
DB456388
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This is a Quotation Pricing Sheet (Form No. AMS-Form-043) from Brookhaven National Laboratory's Procurement and Property Management Division for BSA Request for Quotation No. 456388 for Duo Security Software. The form was approved on 12/14/2020 and printed on 1/2/2025.

The pricing sheet requests a quote for Site 108158 Software Support with a Period of Performance from 1/31/2025-1/30/2026 for 5,250.00 EA units. The terms specify FOB Destination with Net 10 Days payment terms, and the quoted price must remain firm for 60 days. The form includes signature blocks for vendor information and concurrence with BSA's requirements, terms and conditions, and delivery schedule. The opportunity is managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy, with the point of contact listed as David Blackmore, Buyer II.

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Date Printed 1/2/2025 1 of 2 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. 456388 Duo Security Software

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902B Upton, NY 11973

Attention: David Blackmore Buyer II

To whom it may concern:

In compliance with your letter of solicitation dated [insert date], we submit our Quotation No.

___________________________ dated _______________, for [Duo Security Software].

Line Item Description QTY UOM

Site 108158 Software Support

POP: 1/31/2025-1/30/2026

5250.00 EA

Total Price $_____________

This price shall remain firm for [60] days.

The terms of delivery and payment terms are FOB Destination, Net 10 Days.

https://brookhavenlab.sharepoint.com/sites/PPMeFileSystem/AwardedDispatched/Forms/AllItems.aspx?id=%2Fsites%2FPPMeFileSystem%2FAwardedDispatched%2F400000%2F450000%2F454262%2FB%2E%20Solicitation%2FB1%20Request%20for%20Quotation%2FSmall%20Business%20Set%20Aside%20RFQ%20454262%2Emsg&viewid=f55c9e27%2D6510%2D41bc%2D98a1%2Dceee0379ff3a&parent=%2Fsites%2FPPMeFileSystem%2FAwardedDispatched%2F400000%2F450000%2F454262%2FB%2E%20Solicitation%2FB1%20Request%20for%20Quotation

Date Printed 1/2/2025 2 of 2 Date Approved 12/14/2020

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 .