Enclosure C- AMS-FORM-043 Quitation Pricing Sheet.docx
DOCX document 24 KB Posted
- Solicitation number
- 474164
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template for Brookhaven National Laboratory's Request for Quotation No. 474164. The solicitation seeks quotes for two custom-engineered 1000W electric heaters required for a new helium liquefier. Brookhaven Science Associates, LLC, operating Brookhaven National Laboratory under a prime contract with the U.S. Department of Energy, issued this RFQ with the point of contact being Shaylyn Price, Contracts Specialist, located at P.O. Box 5000, Building SUSC 101, Upton, NY 11973.
Vendors submitting quotes must provide unit pricing for each custom-engineered 1000W electric heater and a total price on this form. Quoted prices must remain firm for 90 days, with delivery and payment terms established as FOB Destination with net payment terms to be determined. Respondents must acknowledge compliance with BSA's requirements, terms, conditions, and delivery schedule, and certify current registration in SAM with valid Unique Entity Identifier (UEI) numbers and current representations and certifications. Signatures from authorized company representatives are required, including company name, address, contact information, and title.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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. 474164 “Two 1000W Electric Heaters for New Helium Liquefier”
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. SUSC 101 Upton, NY 11973
| Attention: | Shaylyn Price |
| Contracts Specialist |
To whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Quotation No. ___________________________ dated _______________, for 474164 “Two 1000W Electric Heaters for New Helium Liquefier” for Brookhaven Science Associates, LLC.
| Description |
| QTY |
| Unit Price |
| Custom-engineered 1000 W electric heater |
| 1 |
| Custom-engineered 1000 W electric heater |
| 1 |
Total Price $_____________
This price shall remain firm for 90 days.
The terms of delivery and payment terms are FOB Destination, Net TBD 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 are current and complete. The UEI number associated with our SAM profile is: (Insert Number Here).
| Company _____________________ |
| Signature _____________________ |
| Address ______________________ |
| Typed Name __________________ |
| ______________________________ |
| Title _________________________ |
| Telephone No.___(___)__________ |
| Date _________________________ |
Date Printed 2/18/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .