Enclosure C - Quotation Pricing Sheet.pdf
PDF 178 KB Posted
- Attached to
- Serial Subscription Services
- Solicitation number
- 480207
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template for Brookhaven National Laboratory's Request for Quotation No. 480207 for Serials Subscription Services. The solicitation is issued by Brookhaven Science Associates, LLC (BSA), managed under contract to the U.S. Department of Energy, with the point of contact being Blake Clemmer, Contracts Specialist, located at P.O. Box 5000, Building 101, Upton, NY 11973.
The pricing structure requires quotation submission for a Base Year plus four Option Years (Option Years 1 through 4), with each line item having a quantity of 1.00. Vendors must provide unit prices and total prices for each year, culminating in a Total Overall Price. Quotation prices must remain firm for ninety (90) days from submission. Delivery and payment terms are FOB Destination with payment due within a To-Be-Determined (TBD) number of days. Vendors responding to this RFQ must acknowledge compliance with BSA's requirements, terms, conditions, and delivery schedules, confirm current registration in the System for Award Management (SAM), verify that all representations and certifications are current and complete, and provide their Unique Entity Identifier (UEI) number associated with their SAM profile. The form requires company name, address, authorized signature, signatory's typed name and title, telephone number, and date of submission.
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Text version
Date Printed 8/12/2026 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. 480207 – Serials Subscription Services
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 Serials Subscription Services for Brookhaven Science Associates, LLC.
Description Qty Unit Price Total
1. Base Year 1.00
2. Option Year 1 1.00
3. Option Year 2 1.00
4. Option Year 3 1.00
5. Option Year 4 1.00
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 8/12/2026 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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