Enclosure C - Quotation Pricing Sheet_ 474046.docx

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Request For Quote (RFQ): 474046-Remanufacture of Linac Modulator Tube Types WDR8618 and WDR4CW25000A, and the manufacture of WDNLPT32 new tube type.
Solicitation number
474046
Issued by

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This is a Quotation Pricing Sheet template for Brookhaven National Laboratory's Request for Quotation No. 474046 for modulator tube repair and manufacturing services. The solicitation requires quotation submissions for the repair/remanufacture of three modulator tube types (WDR4CW25000A and WDR8618) and the manufacture of new WDNLPT32 tubes. The base year requires 3 units of WDR4CW25000A repair, 3 new WDNLPT32 tubes, and 4 units of WDR8618 repair, with four optional years following the same quantities (up to 3, up to 3, and up to 4 units respectively). Quotations must remain firm for 90 days, with delivery terms FOB Destination and payment terms Net TBD Days.

Responding vendors must complete the pricing sheet by inserting unit prices and total price for each line item across all contract years, along with their company information, SAM registration status, UEI number, and authorized signature. By submitting the quotation, vendors acknowledge compliance with BSA's requirements, terms, conditions, and delivery schedule. Questions regarding this RFQ should be directed to Shaylyn Price, Contracts Specialist, at sprice@bnl.gov. The solicitation is managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy and has been posted on SAM.gov.

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Other files

File Type Posted
RFQ 474046 - Updated 3-13-2026.pdf PDF
RFQ 474046.pdf PDF
Enclosure A-Contract 474046 with Exhibits.pdf PDF
Enclosure F - Form W-8 (Foreign Vendor).pdf PDF
Enclosure G- AMS Form-001 Subcontracting Plan Waiver.docx DOCX document
Enclosure B - AMS-FORM-050 - Annual Representations and Certifications.pdf PDF
Enclosure D - Vendor ACH Authorization Form.pdf PDF
Enclosure E - Form W-9 (Domestic Vendors).pdf PDF

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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. 474046 “Modulator Tube Repair”

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

Attention:Shaylyn Price
Contracts Specialist

To whom it may concern:

In compliance with your letter of solicitation dated [insert date], we submit our Quotation No. ___________________________ dated _______________, for 474046 “Modulator Tube Repair” for Brookhaven Science Associates, LLC.

Year
Description
Qty
Unit Price
Total
Base Year
Repair/Remanufacture Modulator Tube WDR4CW25000A
3

New Modulator Tube

WDNLPT32

Repair/Remanufacture Modulator Tube

WDR8618

Option Year 1
Repair/Remanufacture Modulator Tube WDR4CW25000A
Up to 3

New Modulator Tube

Up to 3

Repair/Remanufacture Modulator Tube

Up to 4

Option Year 2
Repair/Remanufacture Modulator Tube WDR4CW25000A
Up to 3

New Modulator Tube

Up to 3

Repair/Remanufacture Modulator Tube

Up to 4

Option Year 3
Repair/Remanufacture Modulator Tube WDR4CW25000A
Up to 3

New Modulator Tube

Up to 3

Repair/Remanufacture Modulator Tube

Up to 4

Option Year 4
Repair/Remanufacture Modulator Tube WDR4CW25000A
Up to 3

New Modulator Tube

Up to 3

Repair/Remanufacture Modulator Tube

Up to 4

Total Price $_____________

This price shall remain firm for 90 days.

The terms of delivery and payment terms are FOB Destination, Net TBD 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. We affirm we are registered in SAM and our representations and certifications as well as our small business size status are current and complete. The UEI number associated with our SAM profile is: (Insert Number Here).

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

Date Printed 2/27/2026 1 of 1 Date Approved 12/14/2020

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