Enclosure C - AMS Form 043 Quotation Pricing Sheet.pdf
PDF 137 KB Posted
- Solicitation number
- JF467262
- 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, issued under a contract with the U.S. Department of Energy. The form (AMS-Form-043, Revision 0.1) is a template for vendors to submit pricing and commitment details for a specific Request for Quotation (RFQ No. JF467262), with spaces to specify country of manufacture, lead time, total price, and pricing validity period.
The pricing sheet includes specific payment and delivery terms, specifying FOB Destination with Net 10 Days payment terms for small businesses and Net 30 for large businesses. Vendors are required to acknowledge BSA's requirements, terms, conditions, and delivery schedule by signing the document, and agree to provide necessary resources to meet the laboratory's delivery schedule. The form was approved on 12/14/2020 by L. McKnight, the PPM Manager, and was printed on 8/12/2025.
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Text version
Date Printed 8/12/2025 1 of 1 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.: JF467262
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg.
Upton, NY 11973
Attention:
To whom it may concern:
In compliance with your letter of solicitation dated ___________________, we submit our Quotation No.
___________________________ dated _______________, for _____________________________________.
Country of Manufacture: ______________
Lead Time: _________________
Total Price $_____________ (Attach Enclosure C.1 for line-item pricing)
This price shall remain firm for _________________days.
The terms of delivery and payment terms are FOB Destination, Net 10 Days for small businesses and Net 30 for large businesses.
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:
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