Enclosure C Form 43- Quotation Pricing Sheet Rev.1.pdf
PDF 172 KB Posted
- Attached to
- CSX He Reliquifier System
- Solicitation number
- 467859
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet from Brookhaven National Laboratory for a CSX He Reliquifier System. The procurement is managed by Brookhaven Science Associates, LLC under a contract with the U.S. Department of Energy, with Reference No. BSA Request for Quotation No. 467859. The pricing sheet includes three milestone items: DRM, FAT, and Delivery and Installation, with a total price to be filled in by the vendor. Payment terms are FOB Destination with either Net 30 or Net 10 days, and the quoted price is expected to remain firm for a specified number of days. The document requires the vendor to complete details such as place of manufacture, HTS code, export controls point of contact, and to sign a concurrence section acknowledging BSA's requirements, terms, conditions, and delivery schedule.
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Date Printed 10/9/2025 1 of 3 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. 467859 CSX He Reliquifier System
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973
Attention: Yanice Kirkendall Contracts Specialist 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].
Item Milestone Amount
1 DRM
2 FAT
3 Delivery and Installation
Total Price $_____________
This price shall remain firm for [fill in # days] days.
Manufacturing Information
Place of Manufacture:______________________
If applicable, identify the HTS code:____________
Export Controls Point of Contact (name and email address):________________________
Payment Terms The terms of delivery and payment terms are FOB Destination, [Net 30 or Net 10] Days.
Date Printed 10/9/2025 2 of 3 Date Approved 12/14/2020
0BConcurrence:
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 10/9/2025 3 of 3 Date Approved 12/14/2020
Concurrence:
File details come from the government source that posted it. Updated .