ENCLOSURE C- AMS Form 043-448417.pdf

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Attached to
Neaspec SNOM System ( No Substitutes)
Solicitation number
AB448417
Issued by

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This document is a Quotation Pricing Sheet for a Request for Quotation (RFQ) issued by Brookhaven National Laboratory (BNL) for a Neaspec SNOM System. The RFQ solicits quotes for the purchase of one Neaspec SNOM System (no substitutes) as per the attached technical specifications. The quotation requires the offeror to provide the origin of manufacture and Unique Entity Identifier (UEI) number. Offerors must also provide a published price list or web screenshot showing the quoted items and pricing, and confirm their registration in the System for Award Management (SAM). Award will be made to the responsive and responsible offeror submitting the lowest total price that meets BNL's technical requirements. Quotations must be submitted by October 15, 2024 and the pricing must remain valid for 60 days. The procurement is being conducted by BNL, which operates under a prime contract with the U.S. Department of Energy Office of Science.

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Date Printed 9/24/2024 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. AB448417 Neaspec SNOM System (No Substitutes) -as per Attachment 1-SPEC

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg.

Upton, NY 11973

Attention: Alysha Benincase Buyer

To whom it may concern:

In compliance with your letter of solicitation dated [insert date], we submit our Quotation No.

___________________________ dated _______________, for Neaspec SNOM System

Line Item Description Qty UOM Unit Price

Merchandise Amount

IR-neaSCOPE+s (No Substitutes)

AS PER

ATTACHMENT 1-

SPEC

1.0000 EA

Total Price $_____________

This price shall remain firm for 60 days.

The terms of delivery and payment terms are FOB Destination, Net 30 Days.

Enclosure C javascript:submitAction_win0(document.win0,'BNL_WEB_REQ_LNE$srt1$0');

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javascript:submitAction_win0(document.win0,'BNL_WEB_REQ_LNE$srt6$0');

Date Printed 9/24/2024 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 .