Enclosure 3 - AMS-Form-043 Pricing Sheet.pdf

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Electron-Ion Collider (EIC) Architect-Engineering Services
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BSA_RFP_396466
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Date Printed 1/10/2023 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. 396466 A/E Services – Electron Ion Collider

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 1005S Upton, NY 11973

Attention:

To whom it may concern:

In compliance with your letter of solicitation date January 10, 2023, we submit our Quotation No.

___________________________ dated _______________, for A/E Services – Electron Ion Collider.

Milestone Payment Amount Receipt and acceptance of 30% Design Comments and Cost Estimate

Receipt and acceptance of 60% Design Comments and Cost Estimate

Receipt and acceptance of 90% Design Comments and Cost Estimate

Receipt and acceptance of Final Design (100%) Comments and Cost Estimate

Receipt and acceptance of Project Quality Assurance Plan

Total $_____________

This price shall remain firm for 120 days.

Date Printed 1/10/2023 2 of 2 Date Approved 12/14/2020

Continuous A/E Services During Construction (Option): $_____________

Twice Monthly Site Inspection During Construction (Option): $_____________

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 _________________________

Continuous A/E Services During Construction (Option): $_____________
Concurrence:
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Continuous AE Services During Construction Option Twice Monthly Site Inspection During Construction Option 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:
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In compliance with your letter of solicitation date XXXX we submit our Quotation No:

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