Enclosure 3 - AMS Form 043.docx
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- Solicitation number
- CE446914
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet for a Request for Quotation (RFQ) issued by Brookhaven Science Associates (BSA) for the procurement of RFG Regular 87 Unleaded Fuel. The RFQ references BSA Request for Quotation No. 446914CE and the attached Draft Blanket Purchase Order (BPO) as Enclosure 1.
The key details are: BSA is seeking quotes for the supply of RFG Regular 87 Unleaded Fuel, with pricing to be based on the maximum published price in the Oil Price Daily plus a fixed add-on rate. Fuel quantities may vary depending on season, environmental requirements, market price, and local legislation. Quotes must be submitted by 6/28/24 and will remain firm for 120 days. The resulting BPO will be subject to BSA's terms and conditions, with delivery terms of FOB Destination, Net 30 Days. Offerors must provide the origin of manufacture and their Unique Entity Identifier (UEI).
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Text version
Enclosure 3
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. 446914CE |
| Brookhaven National Laboratory - RFG Regular 87 Unleaded Fuel |
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902 Upton, NY 11973
| Attention: | Cheryl Eleazer |
| Sr. Buyer |
To whom it may concern:
In compliance with your letter of solicitation dated June 13, 2024, we submit our Quotation No. ____________ dated _______________, for the procurement of RFG Regular 87 Unleaded Fuel in strict accordance with Enclosure 1, Draft Blanket Purchase Order (BPO).
Pricing for the fuel shall be in accordance with the maximum published price in the section of the Oil Price Daily (formerly the Journal of Commerce) under weekly fuel prices for Long Island, New York. The actual price of the fuel may vary but the fixed add-on rate shall remain consistent throughout the BPO, including option years.
Note: Offeror’s quote price should represent the fixed add-on to the maximum published weekly price only.
Fuel Type
Product Code
| National Stock Number |
| Fixed Rate |
Add-On Oil Spill Fee Winterized (Additives) Excise Tax Lust Tax
RFG Regular Unleaded
| MRR87 |
| 9130-01-388-4080 |
*These fuels are for BNL’s Central Steam Facility multi-fuel boilers and fuel quantities may vary greatly depending on the season, environmental requirements, market price and local legislation.
Total Price $_____________
This price shall remain firm for 120 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 _________________________ |
| Telephone No.___(___)__________ |
| Date _________________________ |
Date Printed 6/13/2024 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .