Enclosure C - Quotation Pricing Sheet 474299.docx
DOCX document 24 KB Posted
- Solicitation number
- 474299
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template for Brookhaven National Laboratory's Request for Quotation No. 474299, concerning PCB (Printed Circuit Board) Assembly Services. The quotation covers two phases: Phase 1 requires 20 pre-production PCB assemblies, and Phase 2 requires 360 production PCB assemblies for the FD-VD (Far Detector in Vertical Drift) technology project. Quotes are requested in a specified format with unit prices and total prices to be completed by the responding vendor, with pricing to remain firm for 90 days. Delivery and payment terms are FOB Destination with Net payment terms to be determined.
Responding vendors must acknowledge BSA's requirements, terms and conditions, and delivery schedule upon signature. Vendors are required to confirm current SAM registration and that their representations, certifications, and small business size status are current and complete, along with providing their UEI number. The solicitation is being issued by Brookhaven Science Associates, LLC (operator of Brookhaven National Laboratory) under a Prime Contract with the U.S. Department of Energy. Questions regarding the RFQ should be directed to Shaylyn Price, Contracts Specialist, at sprice@bnl.gov. This is a template form that vendors will complete and submit with their quotation responses.
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Text version
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. 474299 “PCB (Printed Circuit Board) Assembly Service”
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 474299 “PCB Assembly Service” for Brookhaven Science Associates, LLC.
| Description |
| Qty |
| Unit Price |
| Total |
| Phase 1: Pre-production PCB assemblies. |
| 20 |
Optional Phase 2: Production PCB assemblies for FD-VD (Far Detector in Vertical Drift technology).
Total Price $_____________
This price shall remain firm for 90days.
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 1/27/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .