Enclosure C - Quotation Pricing Sheet.pdf
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- Attached to
- HandySCAN Black Elite System
- Solicitation number
- MB476094
- 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 as AMS-Form-043, Revision 0.1, and was approved on December 14, 2020.
The template is designed for vendors to submit pricing quotations in response to BSA Request for Quotation No. 476094. Vendors are required to provide a total price that remains firm for 45 days, with delivery and payment terms specified as FOB Destination, Net XX Days. By signing the form, the submitting company acknowledges agreement to BSA's requirements, terms and conditions, and delivery schedule, and commits to provide necessary resources to meet those schedules. Required information from the vendor includes company name, address, telephone number, signature, typed name, title, and date of submission. The form includes fields for the quotation number and solicitation letter date but does not specify particular products or services, as this is a blank template for general use by Brookhaven National Laboratory.
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Text version
Date Printed 2/26/2026 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. 476094
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 _____________, 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 .