Enclosure C - Quotation Pricing Sheet.pdf

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PbWO4 Crystals for the Backward Electromagnetic Calorimeter
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MB00525
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This document is a Quotation Pricing Sheet for a Request for Quotation (RFQ) issued by Brookhaven National Laboratory, which is managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The RFQ is for the procurement of EIC Backward EMCal PbWO4 Crystals.

The Quotation Pricing Sheet outlines the pricing for the base year and two option periods, with per crystal prices provided. The country of origin of the crystals is required. The quotation shall remain firm for 120 days, and the delivery and payment terms are FOB Destination, Net 30 Days. The document requires the vendor to acknowledge and agree to Brookhaven Science Associates' requirements, terms and conditions, and delivery schedule.

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Other files

File Type Posted
Enclosure A - Draft BSA Contract 443571.pdf PDF
Attachment 4 - BNL-QA-101.pdf PDF
Enclosure D - Vendor ACH Authorization Form.pdf PDF
Attachment 3 - Technical Specification for PbWO4 Crystals for the Backward Electromagnetic Calorimeter dated July 26 2024.pdf PDF
Enclosure F - W-8 Form (Foreign Vendors).pdf PDF
Attachment 1 - BSA General Terms and Conditions for Commercial Items.pdf PDF
Enclosure E - W-9 Form (Domestic Vendors).pdf PDF
RFQ 443571.pdf PDF
Attachment 2 - Statement of Work for PbWO4 Crystals for the Backward Electromagnetic Calorimeter V04 dated September 9 2024.pdf PDF
Enclosure B - AMS-FORM-050 Annual Representations_Certifications.pdf PDF

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Date Printed 6/4/2024 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. 443571

Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 Upton, NY 11973

Attention:

To whom it may concern:

In compliance with your letter of solicitation dated ___________, we submit our Quotation No.

___________________________ dated _______________, for EIC Backward EMCal PbWO4 Crystals. Our UEI number is ________________. The country of origin of the crystals is_________________________.

Base Year Per Crystal Price $_____________

Option Period 1 Per Crystal Price: $___________ (up to 1,000)

Option Period 2 Per Crystal Price: $___________ (up to 1,000)

This price shall remain firm for 120 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 _________________________

Concurrence:

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