Enclosure (C) Pricing Sheet.pdf

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IOS sCMOS Detector
Solicitation number
468456
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This document is a Quotation Pricing Sheet from Brookhaven National Laboratory's Procurement and Property Management Division, issued under an AMS-Form-043 (Revision 0.1). The form is designed for potential vendors to submit pricing and agree to terms for a specific procurement opportunity referenced by BSA Request for Quotation No. 468456. The document outlines standard commercial quotation terms, including a price validity period of 60 days, delivery terms of FOB Destination, and payment terms of Net 30 Days. Vendors are required to complete the form by providing company details, signature, and acknowledging Brookhaven Science Associates' requirements and delivery schedule. The form was approved on 12/14/2020 by L. McKnight and is managed under a contract with the U.S. Department of Energy.

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Other files

File Type Posted
Enclosure (E) Form W-9.pdf PDF
Enclosure (B) AMS-FORM-050.pdf PDF
Enclosure (F) Form W-8.pdf PDF
RFQ 468456.pdf PDF
Enclosure (D) Vendor ACH Authorization.pdf PDF
Enclosure (A) Draft Contract 468456.pdf PDF

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Date Printed 9/22/2025 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. 468456

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 98 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].

Total Price $_____________

This price shall remain firm for [60] days.

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

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 _________________________

Concurrence:

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