Enclosure (B) Quotation Pricing Sheet AMS-Form-043.docx

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Helium Buffer Tank
Solicitation number
RFQ_462180
Issued by

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This document is a Quotation Pricing Sheet for a Helium Buffer Tank solicitation (RFQ No. 462180) issued by Brookhaven National Laboratory, managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The pricing sheet requests a quotation for one (1) Gaseous Helium Horizontal Storage Tank, including delivery, with the pricing to remain firm for 90 days from submission. The document requires vendor acknowledgment of BSA's requirements, terms, conditions, and delivery schedule, and mandates that vendors be registered in the System for Award Management (SAM) with current representations and certifications.

The solicitation is specifically for the Department of Energy Office of Science, with the quotation to be submitted to Eric Nagel, Sr. Contracts Specialist, at Brookhaven National Laboratory's Procurement and Property Management Division in Upton, NY. The vendor must complete the pricing sheet, indicating the total price for the helium tank, and provide company details including signature, address, contact information, and confirmation of SAM registration. The document is dated 4/29/2025, with an original approval date of 12/14/2020, suggesting this is a current procurement opportunity for a specialized scientific equipment procurement.

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Other files

File Type Posted
Attachment (B) Specs RF-CRY-TNK-0100.pdf PDF
Enclosure (D) W-9.pdf PDF
Enclosure (C) Vendor ACH Authorization.pdf PDF
Enclosure (A) Draft Contract 462180.docx DOCX document
RFQ 462180.pdf PDF
Attachment (C) BNL-QA-101.pdf PDF
Attachment (A) NSLSII-RF-SOW-SPC-002.pdf PDF

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Text version

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. 462180 Helium Buffer Tank

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

Attention:Eric Nagel
Sr. Contracts Specialist

In compliance with your letter of solicitation, we submit our Quotation No._______________ dated _______________, for a Helium Buffer Tank for Brookhaven National Labs.

Contractor UEI number associated with SAM profile: _________________________

Includes everything as detailed in the Statement of Work and Specs Package (Attachment A):

Description

One (1) Gaseous Helium Horizontal Storage Tank (Including Delivery) $______________

This price shall remain firm for 90 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 4/29/2025 1 of 1 Date Approved 12/14/2020

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