Enclosure (2) Quotation Pricing Sheet AMS-Form-043.pdf
PDF 74 KB Posted
- Solicitation number
- RFQ_461513
- Issued by
-
Department of Energy Office of Science
About this file
The document is a Quotation Pricing Sheet (AMS-Form-043) from Brookhaven National Laboratory for a Request for Quotation (RFQ No. 461513) for a TEM Holder and SEM Stage. The form is designed for potential contractors to submit pricing for two specific scientific equipment components, including delivery, with a requirement that the pricing remain firm for 90 days. The solicitation is managed by Brookhaven Science Associates, LLC under a contract with the U.S. Department of Energy Office of Science.
The pricing sheet requires the contractor to complete their company details, including signature, address, and contact information, and affirm registration in the System for Award Management (SAM). The document specifies that by signing, the contractor acknowledges BSA's requirements, terms, conditions, and delivery schedule, and agrees to provide necessary resources to meet the specified delivery timeline. The form is part of Brookhaven National Laboratory's Procurement and Property Management Division's Acquisition Management System, with the form approved on 12/14/2020 by L. McKnight.
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Text version
Date Printed 5/9/2025 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. 461513
TEM Holder/SEM Stage
Brookhaven National Laboratory
Brookhaven Science Associates, LLC
P.O. Box 5000 – Bldg. 902B
Upton, NY 11973
Attention: Eric Nagel
Sr. Contracts Specialist
In compliance with your letter of solicitation, we submit our Quotation No._______________ dated
_______________, for a TEM Holder/SEM Stage for Brookhaven National Labs.
Contractor UEI number associated with SAM profile: _________________________
Includes everything as detailed in the Statement of Work and Specs Package (Attachment A):
Description
TEM Holder (Including Delivery) $__________
SEM Stage (Including Delivery) $__________
Total: $__________
This price shall remain firm for 90 days.
Date Printed 5/9/2025 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. We affirm we are registered in SAM and our representations and certifications as well as our small business size status (if applicable) are current and complete.
Company _____________________ Signature _____________________
Address ______________________ Typed Name __________________
______________________________ Title _________________________
Telephone No.___(___)__________ Date _________________________
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