Enclosure C - Quotation Pricing Sheet 479034.docx
DOCX document 25 KB Posted
- Solicitation number
- 479034
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template for Request for Quotation (RFQ) 479034 issued by Brookhaven Science Associates, LLC (BSA), the operator of Brookhaven National Laboratory under a U.S. Department of Energy Prime Contract. The solicitation requests quotes for Printed Circuit Board (PCB) Assemblies for the Deep Underground Neutrino Experiment (DUNE) Far Detector in Horizontal Drift Technology (FD-HD). The requirement is divided into two phases: Phase 1 (Pre-Production/Qualification Phase) calls for 670 units of DUNE FD-HD PCB assemblies, and Phase 2 (Production) calls for 2,680 units. Quotes submitted on this form must remain firm for 90 days and include delivery terms of FOB Destination with payment terms to be determined. Questions regarding the RFQ must be submitted via email to Shaylyn Price, Contract Specialist, at sprice@bnl.gov by July 16, 2026.
Respondents completing this pricing sheet must acknowledge BSA's requirements, terms, conditions, and delivery schedules, and confirm registration in the System for Award Management (SAM) with current representations, certifications, and small business size status. Quoters must provide their UEI number and sign the form to indicate concurrence with all solicitation requirements. The form was approved on December 14, 2020, and printed on July 6, 2026.
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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. 479034 Deep Underground Neutrino Experiment (DUNE) Far Detector in Horizontal Drift Technology (FD-HD) Printed Circuit Board (PCB) Assemblies
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. SUSC 101 Upton, NY 11973
Attention: Shaylyn Price, Contract Specialist
To whom it may concern:
In compliance with your letter of solicitation dated [insert date], we submit our Quotation No._______________________ dated ____________, for “479034 DUNE FD-HD PCB Assemblies” for Brookhaven Science Associates, LLC.
| Description |
| Qty |
| Unit Price |
| Cumulative Toal |
Phase 1: Pre-Production (Qualification Phase)
DUNE FD-HD PCB
Optional Phase 2:
Production
DUNE FD-HD PCB
Total Overall Price……………………………………………………………… $_____________
This price shall remain firm for Ninety (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 7/6/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .