Enclosure 3 - Quotation Pricing Sheet.docx

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Forward HCal SiPMs
Solicitation number
443822
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This document is a Quotation Pricing Sheet for BSA Request for Quotation No. 443822 for Forward Hadronic Calorimetry Silicon Photomultipliers (Forward HCal SiPMs) to be used at the Electron-Ion Collider (EIC). It provides detailed pricing and quantity information for the required SiPMs, including a base quantity of 341,380 and an option quantity of 258,620. The pricing is to remain firm for 180 days. The contractor must be registered in SAM with current representations and certifications. The related federal contract opportunity is Solicitation Number 443822, issued by the Department of Energy Office of Science. It requires the contractor to comply with the Statement of Work and Specifications provided as attachments.

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Other files

File Type Posted
Questions and Answers 443822.pdf PDF
Enclosure 6 - Form W-8.pdf PDF
Attachment A - BSA General Terms and Conditions for Commercial Items.pdf PDF
Attachment D - BNL-QA-101.pdf PDF
RFQ Letter 443822.pdf PDF
Attachment B - Statement of Work.pdf PDF
Enclosure 1 Draft Contract.pdf PDF
Attachment C - Specifications.pdf PDF
Enclosure 2 - AMS-FORM-050.pdf PDF
Enclosure 4 - ACH Authorization Form.pdf PDF
Enclosure 5 - Form W-9.pdf PDF
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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. 443822 Forward HCal SiPMs

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902B Upton, NY 11973

Attention:Kevin Kirkendall
Contracts Administrator

In compliance with your letter of solicitation, we submit our Quotation No.443822 dated _______________, for Forward Hadronic Calorimetry SiPMs.

Contractor UEI number associated with SAM profile: _________________________

Includes everything as detailed in the Statement of Work and Specs Package (Attachments B & C):

Description Qty

1. Forward Hadronic Calorimetry SiPMs 341,380 $_________________

2. Forward Hadronic Calorimetry SiPMs (Option) 258,620 $_________________

Total: (Lines 1-2) $_________________

This price shall remain firm for 180 days.

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. We affirm we are registered in SAM and our representations and certifications as well as our small business size status (if applicable) are current and complete.

Company _____________________
Signature _____________________
Address ______________________
Typed Name __________________
______________________________
Title _________________________
Telephone No.___(___)__________
Date _________________________

Date Printed 5/24/2024 1 of 1 Date Approved 12/14/2020

File details come from the government source that posted it. Updated .