Enclosure C - Quotation Pricing Sheet.pdf

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Attached to
Remanufacture of 8618 80 KW High Power Triode
Solicitation number
473220
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This is a Quotation Pricing Sheet for Brookhaven National Laboratory (managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy) requesting pricing for 80 KW High Power Triode units. The solicitation is BSA Request for Quotation No. 473220, directed to Blake Clemmer, Contracts Specialist, at Brookhaven National Laboratory's Upton, New York facility.

The quotation requires pricing for seven line items across a base year and four option years. Base year quantities include 10 units of WDN8618E, 1 unit of WDN8618E-NRE, and 10 units of WDN8618WE1. Option Years 1 through 4 each allow for up to 10 units of WDN8618E. Vendors must provide unit prices and a total overall price for all items. The quoted price must remain firm for ninety (90) days. Delivery terms are FOB Destination with payment terms of Net (TBD) Days. Respondents must acknowledge BSA's requirements, terms, conditions, and delivery schedule in the concurrence section and confirm current SAM registration with a valid UEI number. The form requires company information, authorized signature, typed name, title, telephone number, and date of submission.

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Date Printed 3/10/2026 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. 473220 80 KW High Power Triode

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 80 KW High Power Triode for Brookhaven Science Associates, LLC.

Description Qty Unit Price Total

1. WDN8618E - Base Year 10

2. WDN8618E-NRE - Base Year 1

3. WDN8618WE1 - Base Year 10

4. WDN8618E - Option Year 1 Up to 10

5. WDN8618E - Option Year 2 Up to 10

6. WDN8618E - Option Year 3 Up to 10

7. WDN8618E - Option Year 4 Up to 10

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 3/10/2026 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:

File details come from the government source that posted it. Updated .