Enclosure C - Quotation Pricing Sheet.pdf
PDF 167 KB Posted
- Solicitation number
- MB474724
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template issued by Brookhaven National Laboratory (BNL), managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The form is designated AMS-Form-043, Revision 0.1, and was approved on December 14, 2020.
The document is a standardized template for vendors to submit quotations in response to BSA Request for Quotation No. 474724, dated February 9, 2026. Vendors completing this form must provide their quotation number, total price, company information, and authorized signature. The quoted price shall remain firm for 45 days from submission. Delivery terms are FOB Destination with Net XX Days payment terms. By signing the sheet, vendors acknowledge and agree to BSA's requirements, terms and conditions, delivery schedule, and commit to providing necessary resources to meet the specified delivery schedule. The form includes fields for company name, address, telephone number, authorized signature, typed name, title, and submission date. This template does not specify particular products or services, as it is designed for general use across various procurement requests from Brookhaven National Laboratory.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Date Printed 2/9/2026 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. 474724
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 Upton, NY 11973
To whom it may concern:
In compliance with your letter of solicitation dated February 9, 2026, we submit our Quotation No.
___________________________ dated _______________.
Total Price $_____________
This price shall remain firm for 45 days.
The terms of delivery and payment terms are FOB Destination, Net XX Days.
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.
Company _____________________ Signature _____________________
Address ______________________ Typed Name __________________
______________________________ Title _________________________
Telephone No.___(___)__________ Date _________________________
Concurrence:
File details come from the government source that posted it. Updated .