Enclosure 3.pdf
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- Solicitation number
- 453288CE
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet (Form No. AMS-Form-043) from Brookhaven National Laboratory's Procurement and Property Management Division for RFQ No. 453288CE, seeking quotes for the supply, delivery, and pickup of Liquid Helium (LHE).
The pricing sheet requests quotes for 40,460 pounds of Liquid Helium (Item 1) and 3 pickup/re-delivery services for Liquid Helium Trailers with 25,000 to 40,000-gallon capacity (Item 2). The terms are FOB Destination with Net 30 Days payment. The work must be performed in accordance with Attachment A – SOW35015140SOW-01, Rev. 8, dated October 19, 2023. The solicitation date is December 18, 2024, and the form was approved on December 14, 2020. Vendors must complete unit pricing, extended pricing, and delivery ARO (After Receipt of Order) for both line items, indicate their origin of manufacture, and provide company information and authorized signature acknowledging agreement to BSA's requirements, terms, and delivery schedule.
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Enclosure 3
Date Printed 12/18/2024 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. 453288CE
Supply, delivery and pickup of Liquid Helium (LHE)
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 18, 2024 we submit our Quotation No. __________ dated _______________, for the supply, delivery and pickup of Liquid Helium (LHE) in strict accordance with
Attachment A – SOW35015140SOW-01, Rev. 8, dated October 19, 2023.
Item Unit Extended Delivery
No. Description Qty. UOM Price Price ARO
1 Liquid Helium
40,460.00 Lbs. ________ ________ ________
Pick-up and Re-delivery of
Liquid Helium Trailers
(25,000 to 40,000 gallons)
Each
Total Price $___________________
The terms of delivery and payment terms are FOB Destination, Net 30 Days.
Origin of Manufacturer: ________________________________
Enclosure 3
Date Printed 12/18/2024 2 of 2 Date Approved 12/14/2020
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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