Enclosure (2) Quotation Pricing Sheet AMS-Form-043.pdf

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Phase Noise Analyzer
Solicitation number
RFQ_472468
Issued by

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This document is a Quotation Pricing Sheet from Brookhaven National Laboratory, managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy, for a Phase Noise Analyzer. The solicitation (Request for Quotation No. 472468) includes pricing for a Phase Noise Analyzer, Cross Correlation for Analyzer, Signal Source for additive phase noise measurement, a 24-month warranty extension, and 36-month calibration coverage. The pricing sheet requires the vendor to confirm SAM registration, be prepared to meet delivery schedules, and provide a quote that remains firm for 90 days from the submission date.

The document is a two-page form (AMS-Form-043, Revision 0.1) dated 12/14/2020 and printed 1/5/2026, with a concurrence section for the vendor to complete, including spaces for company name, address, signature, typed name, title, telephone number, and date. The quotation is to be submitted to Eric Nagel, Contracts Administrator at Brookhaven National Laboratory in Upton, NY, with specific pricing details to be filled in by the responding vendor.

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Date Printed 1/5/2026 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. 472468

Phase Noise Analyzer

Brookhaven National Laboratory

Brookhaven Science Associates, LLC

P.O. Box 5000 – Bldg. 902B

Upton, NY 11973

Attention: Eric Nagel

Contracts Administrator

In compliance with your letter of solicitation, we submit our Quotation No._______________ dated

_______________, for the Phase Noise Analyzer for Brookhaven National Labs.

Contractor UEI number associated with SAM profile: _________________________

Includes everything as detailed in the Statement of Work:

Description

Phase Noise Analyzer $__________

Cross Correlation for Analyzer $__________

Signal Source for additive phase noise measurement $__________

24 Month Warranty Extension $__________

36 Month Calibration Coverage $__________

Total: $__________

This price shall remain firm for 90 days.

Date Printed 1/5/2026 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 _________________________

File details come from the government source that posted it. Updated .