Enclosure C. AMS Form 043 Quotation Pricing Sheet.docx

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Attached to
480607 - Magnetic Measurement System
Solicitation number
480607
Issued by

About this file

This is a Quotation Pricing Sheet template (AMS Form 043) issued by Brookhaven National Laboratory for RFQ 480607 regarding a Magnetic Measurement System. The form serves as the standardized pricing submission document that vendors must complete and return to BSA's Procurement and Property Management Division located at Brookhaven National Laboratory in Upton, New York.

Vendors submitting quotations must provide their company name, contact information, quotation number, submission date, place of manufacture, and total price on this form. The template specifies that pricing shall remain firm for a vendor-determined number of days, with standard delivery and payment terms of FOB Destination and Net 30 Days. By signing the form, vendors acknowledge and agree to BSA's requirements, terms and conditions, delivery schedule, and commit to providing necessary resources to meet BSA's delivery timeline. The form was approved on December 14, 2020, and serves as the official pricing response mechanism for this solicitation.

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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. 480607
Magnetic Measurement System

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973

Attention:

To whom it may concern:

In compliance with your letter of solicitation dated [insert date], we submit our Quotation No. ___________________________ dated _______________, for [fill in name of procurement].

Place of Manufacture: ________________

Total Price $_____________

This price shall remain firm for [fill in # days] days.

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

Company _____________________
Signature _____________________
Address ______________________
Typed Name __________________
______________________________
Title _________________________
Telephone No.___(___)__________
Date _________________________

Date Printed 7/21/2026 1 of 1 Date Approved 12/14/2020

File details come from the government source that posted it. Updated .