Enclosure C - Quotation Pricing Sheet.docx
DOCX document 23 KB Posted
- Attached to
- FLUKE Industrial Acoustic Imager with support
- Solicitation number
- MH483178
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template issued by Brookhaven National Laboratory (BSA) for Request for Quotation No. MH483178. The form is designed for vendors to submit pricing proposals in response to solicitations from the Department of Energy Office of Science. Vendors are required to complete fields including quotation number, date, total price, lead time, place of manufacture, and price validity period. Standard terms specify FOB Destination delivery and Net 30 Days payment terms. By signing the form, vendors acknowledge agreement to BSA's requirements, terms and conditions, and delivery schedules, and commit to providing necessary resources to meet delivery commitments. The form requests standard vendor information including company name, signature, address, contact person, title, telephone number, and date.
This specific quotation request (MH483178) solicits pricing for one FLUKE-II915 Industrial Acoustic Imager unit and one FPC3S-II915 three-year support package. Vendors must submit their completed quotation pricing sheet and supporting documentation via email to mhoward@bnl.gov, with no additional documents required to bid. The solicitation references Draft PO 483178 (Enclosure A) for detailed item specifications and requirements.
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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.: MH483178
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg.
Upton, NY 11973
Attention:
To whom it may concern:
In compliance with your letter of solicitation dated ___________________, we submit our Quotation No.
___________________________ dated _______________, for _____________________________________.
Total Price $_____________
Lead Time:_______________
Place of Manufacture: __________________________
This price shall remain firm for _________________days.
The terms of delivery and payment terms are FOB Destination, Net 30 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.
| Company _____________________ |
| Signature _____________________ |
| Address ______________________ |
| Typed Name __________________ |
| ______________________________ |
| Title _________________________ |
| Telephone No.________________ |
| Date _________________________ |
Date Printed 8/27/2026 1 of 1 Date Approved 12/14/2020
File details come from the government source that posted it. Updated .