Enclosure 3 - AMS Form 043.docx

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Amendment No. 1 to RFQ No. 446916CE - Clear ULSD Fuel Grade # 2 Diesel
Solicitation number
446916CE
Issued by

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This document is a Quotation Pricing Sheet for a Request for Quotation (RFQ) issued by Brookhaven Science Associates (BSA) for the procurement of Clear ULSD Fuel Grade #2 Diesel. The RFQ, Solicitation #446916CE, is for Brookhaven National Laboratory, which is managed by BSA under contract to the U.S. Department of Energy Office of Science.

The pricing sheet outlines the required fuel type, product code, national stock number, fixed rate add-on, and other relevant pricing details. Offerors are instructed to provide a fixed add-on rate to the maximum published weekly price for Long Island, NY. The total quoted price must remain firm for 120 days, and delivery and payment terms are FOB Destination, Net 30 Days. Offerors are required to acknowledge and agree to BSA's requirements, terms and conditions, and delivery schedule.

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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. 446916CE
Brookhaven National Laboratory - Clear ULSD Fuel Grade # 2 Diesel

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 18, 2024, we submit our Quotation No. ____________ dated _______________, for the procurement of Clear ULSD Fuel Grade # 2 Diesel 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

Clear ULSD Fuel Grade # 2 Diesel

DS2
9140-01-524-0139

*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 6/18/2024 1 of 1 Date Approved 12/14/2020

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