Enclosure 3.docx
DOCX document 28 KB Posted
- Attached to
- Blue Stone Blend, Blue Stone, Rip/Rap and RCA
- Solicitation number
- CE424206
- Issued by
-
Department of Energy Office of Science
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Other files
| File | Type | Posted |
|---|---|---|
| Enclosure 2.pdf | ||
| CE424206RFQ.docx | DOCX document | |
| BSA_Commercial_Items_Rev22_Sep_2022.pdf | ||
| Enclosure 1.pdf |
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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. CE424206 |
| Blue Stone Blend, Blue Stone, Rip/Rap and RCA |
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902B Upton, NY 11973
| Attention: | Cheryl Eleazer |
| Sr. Buyer |
To whom it may concern:
In compliance with your letter of solicitation dated December 4, 2022, we submit our Quotation No. ____________ dated _______________, for Blue Stone Blend, Blue Stone, Rip/Rap and RCA.
Item
| Unit |
| Extended |
| No. |
| Description |
| Qty. |
| UOM |
| Price |
| Price |
| 1 |
| Blue Stone Blend |
| 1500 |
| Ton |
| ________ |
| ________ |
| 2 |
| Blue Stone 1/4” |
| 25 |
| Ton |
| ________ |
| ________ |
| 3 |
| Blue Stone 3/8” |
| 25 |
| Ton |
| ________ |
| ________ |
| 4 |
| Blue Stone 1-1/4” |
| 50 |
| Ton |
| ________ |
| ________ |
| 5 |
| Rip-Rap 2” – 12” |
| 50 |
| Ton |
| ________ |
| ________ |
| 6 |
| Rip-Rap 4” – 18” |
| 50 |
| Ton |
| ________ |
| ________ |
| 7 |
| RCA |
| 25,000 |
| Ton |
| ________________ |
| ________ |
Total Price $_____________
The terms of delivery and payment terms are FOB Destination, Net 30 Days.
Concurrence:
|_| Check here if you are registered in the System for Award Management (SAM)
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 12/4/2022 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .