Enclosure C - Quotation Pricing Sheet.pdf
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- Attached to
- 479928 - Modular Autonomous Thin Film Laboratory
- Solicitation number
- RFQ_479928
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation/Proposal 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 solicitation, BSA Request for Quotation/Proposal No. 479928, dated August 26, 2026, seeks pricing for a Modular Autonomous Thin Film Laboratory. The Contract Specialist is Crystal Lopez.
Offerors must provide pricing for four distinct milestones: (1) Delivery to BNL, (2) Commissioning of instrument, (3) Training on instrument, and (4) Delivery of End Item Documentation Package. All pricing must be submitted in U.S. Dollars and include all applicable taxes, fees, customs, duties, and other charges. The quoted price shall remain firm for 90 days. Offerors must specify delivery terms as either FOB or DAP and payment terms as Net 30 for large businesses or Net 10 for small businesses. For items manufactured or originating outside the U.S., offerors must provide the country of origin, HTS code, and export control point of contact information including name, phone number, and email address. Offerors must also certify the commercial status of the item (standard catalog, modified catalog, or non-commercial), confirm ability to meet the delivery timeline or provide an alternative delivery date, and affirm current SAM registration and valid representations and certifications. By signature, offerors acknowledge agreement with BSA's requirements, terms, conditions, and delivery schedule.
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Text version
Date Printed 8/26/2026 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:
PPM Manager/Date
Quotation/Proposal Pricing Sheet Reference: BSA Request for Quotation/Proposal No. 479928 Description: Modular Autonomous Thin Film Laboratory
Attention: Contract Specialist: Crystal Lopez
To whom it may concern: In compliance with your letter of solicitation dated August 26, 2026, we submit our Quotation/Proposal No. ___________________________
Milestone Amount
1. Delivery to BNL
2. Commissioning of instrument
3. Training on instrument
4. Delivery of End Item Documentation Package
Total Price* $_____________ *Must be in U.S. Dollars and inclusive of all taxes, fees, customs, duties and other charges as applicable.
This price shall remain firm for 90 days.
Delivery is: [insert FOB or DAP] Payment terms are: Net [insert 30 (large business) or 10 (small business)]
Country of Origin or Place of Manufacture: [insert place] *Item HTS CODE: [insert HTS code]
*Company’s Export Control Point of Contact (POC): [insert POC] *Phone #: [insert phone #] *Email Address: [insert email address] *Required if country of origin or manufacture is located outside of the U.S.
Date Printed 8/26/2026 2 of 2 Date Approved 12/14/2020
Concurrence:
By signing this Quotation/Proposal 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 (if applicable) are current and complete. Additionally, please certify the following:
Item commercial status. Check one of the following by clicking the ☐ next to the associated option:
☐ Standard catalog item ☐ Modified catalog item ☐ Non-commercial item
Can you meet delivery timeline? If yes, check this box: ☐ If not, please provide your forecasted delivery date: [insert delivery date]
Notice is hereby provided that BSA may disclose offeror proposals to U.S. Government personnel for review.
In such case, BSA will furnish the proposal to the Government with any confidentiality legends included by the Offeror, but BSA is not responsible for any subsequent disclosure by the U.S. Government.
Company ____________________ Signature __________________
Email Address ________________ Typed Name __________________
SAM UEI #___________________ Title _________________________
Telephone No.(___)____________ Date _________________________
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