Enclosure C - Quotation Pricing Sheet.pdf
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- Attached to
- PCB (Printed Circuit Board) Assembly Service
- Solicitation number
- 471674
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet for PCB Assembly Services issued by Brookhaven National Laboratory, managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The document is BSA Request for Quotation No. 471674, approved on December 14, 2020, and printed on January 22, 2026.
The quotation requests pricing for IO-1750-1F PCB assemblies and set-up services across three phases: Phase 1 requires 30 assemblies and 1 set-up; Option Phase 2 requires 520 assemblies and 1 set-up; and Option Phase 3 requires 800 assemblies and 1 set-up, for a total of 1,350 assemblies. Vendors must provide unit pricing and a total overall price, with pricing remaining firm for ninety days. Delivery and payment terms are FOB Destination with Net payment days to be determined. Respondents must acknowledge compliance with BSA requirements, terms and conditions, and delivery schedules, and confirm registration in the System for Award Management (SAM) with a current UEI number and valid representations and certifications, including small business size status. Quotations should be submitted to Blake Clemmer, Contracts Specialist, at Brookhaven National Laboratory, P.O. Box 5000, Building 101, Upton, New York 11973.
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Text version
Date Printed 1/22/2026 1 of 2 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. 471674 PCB Assembly Service
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973
Attention: Blake Clemmer Contracts Specialist To whom it may concern:
In compliance with your letter of solicitation dated _____, we submit our Quotation No. ___________________________ dated _______________, for PCB Assembly Services for Brookhaven Science Associates, LLC.
Description Qty Unit Price Total
1. IO-1750-1F Assembly – Phase 1 30
2. IO-1750-1F Set-Up – Phase 1 1
3. IO-1750-1F Assembly – Option Phase 2
4. IO-1750-1F Set-Up – Option Phase 2 1
5. IO-1750-1F Assembly – Option Phase 3
6. IO-1750-1F Set-Up – Option Phase 3 1
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.
Date Printed 1/22/2026 2 of 2 Date Approved 12/14/2020
0BConcurrence:
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 _________________________
Concurrence:
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