Enclosure C AMS-043(2).docx
DOCX document 24 KB Posted
- Attached to
- Forescout modules w/ add-on Renewal
- Solicitation number
- DB459852
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template (Form AMS-043) issued by Brookhaven National Laboratory's Procurement and Property Management Division for RFQ No. DB459852. The solicitation requests quotes for three Forescout software license renewals: eyeSight and eyeControl for 350 endpoints, eyeExtend Connect Add-On Module for 350 endpoints, and eyeRecover for 350 endpoints, all with a performance period of April 1, 2025 to March 31, 2026.
The opportunity is a small business set-aside with firm fixed pricing, managed by Brookhaven Science Associates, LLC under Department of Energy contract DE-SC0012704. Quotes must remain valid for 60 days with FOB Destination and Net 10 Days payment terms. The form requires vendors to specify total price, lead time, and country of origin, along with company information and authorized signature acknowledging BSA's requirements and terms.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Small Business Set Aside RFQ DB459852-1-2.pdf | ||
| bsa_commercial_items_rev22_sep_2022.pdf | ||
| Enclosure B AMS Form 050.pdf | ||
| ENCLOSURE A DRAFT PO-1-1.pdf |
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Text version
Enclosure C
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. DB459852 Forescout modules w/ add-on Renewal Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902B Upton, NY 11973 Attention: David Blackmore Buyer II whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Quotation No.
___________________________ dated _______________, for Forescout modules w/ add-on].
| Line |
| Item Description |
| QTY |
| UOM |
| 1 |
| RENEWAL |
FS-LIC-TERM-A-SIGHT-CONTROL-100-1, DOE BNL Forescout eyeSight and eyeControl for 100 endpoints
POP: 04/01/2025-03/31/2026
| 350.0000 |
| EA |
| 2 |
| RENEWAL |
FS-LIC-TERM-A-MOD-CONNECT-100-1, DOE BNL Forescout eyeExtend Connect Add-On Module POP: 04/01/2025-03/31/2026
| 350.0000 |
| EA |
| 3 |
| RENEWAL FS-LIC-TERM-A-RECOVER-100-1, DOE BNL Forescout eyeRecover POP: 04/01/2025-03/31/2026 |
| 350.0000 |
| EA |
Total Price $_____________
Lead Time _______________
Country of Origin __________
This price shall remain firm for [60] days.
The terms of delivery and payment terms are FOB Destination, Net 10 Days.
Date Printed 1/2/2025 1 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 _________________________ Date Printed 1/2/2025 2 of 2 Date Approved 12/14/2020
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