Enclosure 2 - AMS Form 043 Pricing Sheet.docx
DOCX document 29 KB Posted
- Solicitation number
- 463648
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Pricing Sheet (AMS Form 043) for a Request for Quotation (RFQ) 463648 issued by Brookhaven Science Associates, LLC for the Deep Underground Neutrino Experiment (DUNE) project. The solicitation seeks twisted pair cables for power distribution in cryogenic temperatures, with specific requirements for four different cable lengths: 2.5m (2,200 pieces), 27m (2,200 pieces), 9m (1,750 pieces), and 22m (1,750 pieces), each with a specific part number.
The pricing sheet is part of a solicitation managed by the Brookhaven National Laboratory's Procurement and Property Management Division, under a contract with the U.S. Department of Energy. The quote pricing is valid for 90 days, with delivery and payment terms to be determined. Vendors must be registered in SAM and provide their Unique Entity Identifier (UEI) number. The federal agency involved is the Department of Energy Office of Science, and potential vendors are invited to submit quotes in response to the RFQ posted on SAM.gov, with questions directed to Lisa Gonzales at lgonzales@bnl.gov.
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Text version
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. 463648 Twisted Pair Cables for Power Distribution in Cryogenic Temperatures of DUNE Project
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902B Upton, NY 11973
| Attention: | Lisa C. Gonzales |
| Contracts Specialist |
To whom it may concern:
In compliance with your letter of solicitation dated _____, we submit our Quotation No. ___________________________ dated _______________, for Twisted Pair Cables for Power Distribution in Cryogenic Temperatures of DUNE Project for Brookhaven Science Associates, LLC.
| Description |
| Qty |
| Unit Price |
| Total |
| 2.5 m cables with part number ASD-223277-08 |
| 2,200 pieces |
| 27 m cables with part number ASD-223277-11 |
| 2,200 pieces |
| 9 m cables with part number ASD-223277-09 |
| 1,750 pieces |
| 22 m cables with part number ASD-223277-10 |
| 1,750 pieces |
Total Overall Price……………………………………………………………… $_____________
This price shall remain firm for Ninety (90) days.
The terms of delivery and payment terms are TBD, Net (TBD) 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. We affirm we are registered in SAM and our representations and certifications as well as our small business size status are current and complete. The UEI number associated with our SAM profile is: _________. Comment by Gonzales, Lisa: Please add UEI number here
| Company _____________________ |
| Signature _____________________ |
| Address ______________________ |
| Typed Name __________________ |
| ______________________________ |
| Title _________________________ |
| Telephone No.___(___)__________ |
| Date _________________________ |
Date Printed 8/8/2025 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .