Enclosure C - Quotation Pricing Sheet.pdf
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- Attached to
- 704 MHZ Conditioning Box
- Solicitation number
- MB470766
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation Pricing Sheet from Brookhaven National Laboratory (BSA), a laboratory managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The form is identified as AMS-Form-043, Revision 0.1, and was approved on 12/14/2020, with a reference number of BSA Request for Quotation No. 470766.
The pricing sheet provides a template for vendors to submit quotations, with key terms including a 60-day firm pricing period and delivery/payment terms of FOB Destination with Net 30 Days payment. The document requires potential vendors to acknowledge BSA's requirements, terms, conditions, and delivery schedule by completing and signing the form, which includes spaces for company details, signature, contact information, and a commitment to provide necessary resources to meet BSA's delivery schedule.
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Text version
Date Printed 9/24/2025 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. 470766
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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