Enclosure C_AMS Form 043 Quotation Pricing Sheet.docx
DOCX document 24 KB Posted
- Attached to
- SI Plane Mirrors
- Solicitation number
- BSA468459
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet for Brookhaven National Laboratory's Request for Quotation (RFQ) No. 468459, seeking two SI Plane Mirrors. The procurement is managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy's Office of Science. The required mirrors have specific technical specifications: dimensions of 508 ±5mm x 38.1 ±0.2mm x 9 ±0.1mm, with as-polished slope errors of 5km and no coating.
The pricing sheet provides a template for vendors to submit their quotation, including total price, delivery terms (FOB Destination or DAP), payment terms (Net 10 or 30 Days), and place of manufacture. Vendors must sign the document to acknowledge BSA's requirements, terms, conditions, and delivery schedule. The document is dated 9/4/2025 with an original approval on 12/14/2020, indicating this is a pre-solicitation opportunity for potential suppliers to prepare their responses.
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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. 468459 |
| Two SI Plane Mirrors |
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973
| Attention: | Mark Brock |
| Subcontracts Supervisor |
To whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Quotation No. ___________________________ dated _______________, for the referenced Combined Synopsis/Request for Quote.
| Item |
| Milestone |
| Amount |
| Funded Amount |
| 1 |
| Receipt and BSA Acceptance of Two SI Plane Mirrors |
Total Price $_____________
This price shall remain firm for [fill in # days] days.
The terms of delivery and payment terms are [insert FOB Destination or DAP], Net [insert 10 or 30] Days.
Place of Manufacture: [insert place of manufacture].
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 9/4/2025 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .