Enclosure 3 - Proposal Pricing Sheet - 12-19-2024.pdf
PDF 76 KB Posted
- Solicitation number
- 444510
- Issued by
-
Department of Energy Office of Science
About this file
This is a proposal pricing sheet form (AMS-Form-043) issued by Brookhaven National Laboratory for RFP No. 444510 for EIC Scintillating Fibers for the Barrel Imaging Calorimeter. The form requests pricing for three line items: a base quantity of 1,125,000 scintillating fibers, Option 1 for 1,264,000 fibers, and Option 2 for 2,511,000 fibers, with vendors required to provide per-meter pricing for two different samples of each line item.
The form specifies FOB Destination and Incoterms 2020 DAP delivery terms to Lemont, Illinois, with Net 30 payment terms for large businesses and Net 10 for small businesses. Pricing must remain firm for 120 days. Vendors must provide their place of manufacture, company information, and Unique Identity Identifier number. The form is managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy, with William Koncelik listed as the Contracts Administrator.
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Text version
Date Printed 10/7/2024 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
Proposal Pricing Sheet
Reference: BSA Request for Proposal No. 444510
EIC Scintillating Fibers for the Barrel Imaging Calorimeter
Brookhaven National Laboratory
Brookhaven Science Associates, LLC
P.O. Box 5000 – Bldg. 902B
Upton, NY 11973
Attention: William Koncelik
Contracts Administrator
To whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Proposal No.
_____________________ dated _______________, for EIC Scintillating Fibers for the Barrel Imaging
Calorimeter.
Line Qty Unit Description Unit Price
1 1,125,000 each Base - Scintillating Fibers – Sample 1 $___________/meter
Sample 2 $___________/meter
Brookhaven Science Associates, LLC has the option(s) to unilaterally exercise one sample of Option 1 and 2 as described below.
2 1,264,000 each Option 1 - Scintillating Fibers – Sample 1 $___________/meter
3 2,511,000 each Option 2 - Scintillating Fibers – Sample 1 $___________/meter
Total Price: Sample 1 $_____________USD Sample 2 $_____________USD
Place of Manufacture ___________________________
This price shall remain firm for 120 days.
The terms of delivery and payment terms are:
FOB: Destination - Lemont, Illinois, 60439, USA
Incoterms 2020 – DAP: Lemont, Illinois, 60439, USA
Net 30 Days – Large Business, Net 10 Days - Small Business
Date Printed 10/7/2024 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 _________________________
Unique Identity Identifier # _______________
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