Enclosure 3 - AMS-Form-043 Pricing Sheet.pdf
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- Solicitation number
- BSA_RFP_396466
- Issued by
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Department of Energy Office of Science
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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): $_____________ |
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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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| Company: |
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| In compliance with your letter of solicitation date XXXX we submit our Quotation No: |
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