Enclosure C - Quotation Pricing Sheet.pdf

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WAVERUNNER 8058HD Oscilloscope
Solicitation number
MB470157Rev1
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This document is a Quotation Pricing Sheet from Brookhaven National Laboratory's Procurement and Property Management Division for Request for Quotation No. 470157. The form is managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy, with the document approved on 12/14/2020. The pricing sheet includes standard terms such as a firm pricing period of 60 days, delivery terms of FOB Destination, and payment terms of Net 30 Days. Vendors are required to acknowledge BSA's requirements, terms, conditions, and delivery schedule when submitting a quotation, with space provided for company details, signature, and concurrence.

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Date Printed 9/22/2025 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. 470157

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 _______________.

Total Price $_____________

This price shall remain firm for [60] 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 _________________________

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