ENCLOSURE C- AMS Form 043 PO 465756.pdf
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- Attached to
- Xspress 3 Mk2 24-channel (No Substitutes)
- Solicitation number
- 465756AB
- 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 a Request for Quotation (RFQ) No. 465756. The solicitation is for a Xspress 3 Mk2 24-Channel Readout system for SDD or HPGe detectors, with a strict "No Substitutes" requirement. The pricing terms include FOB Destination delivery, Net 30 Days payment terms, and a price firmness period of 60 days. The document is managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy, with the buyer contact being Alysha Benincase. The form (AMS-Form-043, Revision 0.1) was approved by L. McKnight on 12/14/2020 and provides a template for vendors to complete their quotation details, including company information, signature, and acknowledgment of BSA's requirements and delivery schedule.
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Date Printed 7/10/2025 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. 465756 Xspress 3 Mk2 24 -Channel (No Substitutes)
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 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 Xspress 3 Mk2 24 -Channel (No Substitutes)
Total Price $_____________ Origin of Manufacture: _____________
This price shall remain firm for 60 days.
The terms of delivery and payment terms are FOB Destination, Net 30 Days.
Enclosure C
Date Printed 7/10/2025 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 .