Enclosure 3 - AMS Form 043 Pricing Sheet.docx
DOCX document 26 KB Posted
- Solicitation number
- 457675
- Issued by
-
Department of Energy Office of Science
About this file
This is a pricing sheet template (AMS Form 043) for RFP No. 457675 for an X-Ray Microscope Instrument (XRM) being procured by Brookhaven Science Associates, LLC for Brookhaven National Laboratory under a DOE contract.
The form requires vendors to provide pricing for six milestone payments: Program Plan (6 weeks after contract award), Manufacturing Plan (10 weeks), Installation Work Plan (20 weeks), Factory Acceptance Testing (64 weeks), XRM Delivery (70 weeks), and Site Acceptance Test Report & Commissioning Report (10 weeks after delivery). The pricing must remain firm for 120 days with FOB Destination terms. Vendors must be registered in SAM and provide their UEI number. The solicitation is classified under NAICS 334516 with a 1,000-employee size standard and is being conducted as full and open competition. Questions should be directed to Lisa Gonzales at BNL.
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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
Proposal Pricing Sheet
| Reference: | BSA Request for Proposal No. 457675 |
| X-Ray Microscope Instrument (XRM) |
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 [insert date], we submit our Proposal No. dated , for X-Ray Microscope Instrument (XRM).
Milestone Payment Plan Note: The percentage or dollar amounts listed for each milestone must equal the total amount proposed.
| Item |
| Description |
| Due |
| Amount |
| 1 |
| Program Plan |
| 6 weeks after award of contract (AOC) |
| 2 |
| Manufacturing Plan |
| 10 weeks after AOC |
| 3 |
| Installation Work Plan |
| 20 weeks after AOC |
| 4 |
| Factory Acceptance Testing |
| 64 weeks after AOC |
| 5 |
| Delivery of the XRM |
| 70 weeks after AOC |
| 6 |
| Site Acceptance Test Report & Commissioning Report |
| 10 weeks after delivery |
Total Price $_____________
This price shall remain firm for (120) days.
The terms of delivery and payment terms are FOB Destination, Net (TBD) Days.
Concurrence:
By signing this 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:________.
Company:
Signature:
Address:
Typed Name:
Address Line 2:
Title:
Telephone No.:
Date:
Date Printed 2/10/2025 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .