ENCLOSURE B AMS FORM_043.pdf
PDF 294 KB Posted
- Attached to
- RF tube cavities (No Substitutes)
- Solicitation number
- BG473053
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet from Brookhaven National Laboratory's Procurement and Property Management Division for RF tube cavities. The solicitation (Reference No. BG473053) is for five specific line items: 4 Extension Outer Conductors, 4 Assembly Coax units, 4 Bullet Inner Conductors, 8 Guide Bars, and 4 Coax Carriages. The pricing terms include FOB Destination with Net 30 Days payment, and the quoted pricing will remain firm for 60 days. The document is managed by Brookhaven Science Associates, LLC under a contract with the U.S. Department of Energy, and the form was approved by L. McKnight on 12/14/2020.
The form requires a potential vendor to complete the pricing sheet by filling in the total "All Inclusive" Firm Fixed Price, Lead Time, Country of Origin, and Shipping location. The final section includes a concurrence statement where the vendor acknowledges BSA's requirements, terms, conditions, and delivery schedule, and provides space for the company's signature, contact information, and agreement date.
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Other files
| File | Type | Posted |
|---|---|---|
| BSA_Commercial_Product_Rev. 23.0 may_2025.pdf | ||
| ENCLOSURE A DRAFT PO.pdf | ||
| AMS-Template-003 RFQ.pdf |
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Text version
ENCLOSURE B
Date Printed 12/8/2025 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.
BG473053
RF tube cavities (No Substitutes)
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973 Attention: Beth Gilman
Sr. Buyer
To whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Quotation No.
___________________________ dated _______________, for RF tube cavities (No Substitutes)
Line Item Description Qty UOM Unit Price Merchandise Amount
1 91212-1 Extension Outer Conductor 4.0000 EA 2 91271-1 Assembly Coax 4.0000 EA 3 91260-1 Bullet Inner Conductor 4.0000 EA 4 91681-1 Guide Bar 8.0000 EA 5 103169-1 Coax Carriage 4.0000 EA
Total “All Inclusive” Firm Fixed Price $_____________
Lead Time _______________
Country of Origin __________
Shipping From _____________
This price shall remain firm for [60] days.
The terms of delivery and payment are FOB Destination, Net 30
Days.
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ENCLOSURE B
Date Printed 12/8/2025 2 of 2 Date Approved 12/14/2020
0BConcurrence:
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 _________________________
Concurrence:
File details come from the government source that posted it. Updated .