Enclosure C AMS-043 PO.pdf
PDF 210 KB Posted
- Attached to
- Duo Security Software
- Solicitation number
- DB456388
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet form (AMS-Form-043) from Brookhaven National Laboratory's Procurement and Property Management Division for BSA Request for Quotation No. 456388 for Duo Security Software.
The form requests pricing for Site 108158 Software Support with a quantity of 51.84 EA and a performance period of January 31, 2025 to January 30, 2026. The terms specify FOB Destination with Net 10 Days payment terms, and the quoted price must remain firm for 60 days. The form requires vendor information including company name, address, telephone number, authorized signature, and title. The document is approved by L. McKnight (PPM Manager) on December 14, 2020 and includes a concurrence section where the vendor acknowledges and agrees to BSA's requirements, terms and conditions, and delivery schedule.
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Date Printed 1/2/2025 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. 456388 Duo Security Software
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902B Upton, NY 11973
Attention: David Blackmore Buyer II To whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Quotation No.
___________________________ dated _______________, for [Duo Security Software].
Line Item Description QTY UOM
Site 108158 Software Support
POP: 1/31/2025-1/30/2026
51.84 EA
Total Price $_____________
This price shall remain firm for [60] days.
The terms of delivery and payment terms are FOB Destination, Net 10 Days.
https://brookhavenlab.sharepoint.com/sites/PPMeFileSystem/AwardedDispatched/Forms/AllItems.aspx?id=%2Fsites%2FPPMeFileSystem%2FAwardedDispatched%2F400000%2F450000%2F454262%2FB%2E%20Solicitation%2FB1%20Request%20for%20Quotation%2FSmall%20Business%20Set%20Aside%20RFQ%20454262%2Emsg&viewid=f55c9e27%2D6510%2D41bc%2D98a1%2Dceee0379ff3a&parent=%2Fsites%2FPPMeFileSystem%2FAwardedDispatched%2F400000%2F450000%2F454262%2FB%2E%20Solicitation%2FB1%20Request%20for%20Quotation
Date Printed 1/2/2025 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 _________________________
Concurrence:
File details come from the government source that posted it. Updated .