B.1 Enclosure C - Quotation Pricing Sheet.pdf
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- Solicitation number
- MB479982
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet template issued by Brookhaven National Laboratory (managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy) for BSA Request for Quotation No. 479982. The solicitation seeks quotations for a digital teslameter. Vendors responding to this RFQ must complete the pricing sheet by providing their company name, address, contact information, UEI number, quotation number, quotation date, proposed price, and country of origin for the equipment.
Pricing terms require the quoted price to remain firm for 90 days from the quotation date. Delivery and payment terms are established as FOB Destination, Net 30 Days. By signing the form, the vendor acknowledges and agrees to comply with BSA's requirements, terms and conditions, delivery schedule, and commits to providing necessary resources to meet the specified delivery timeline. The form was approved on December 14, 2020, and represents Revision 0.1 of AMS-Form-043 within Brookhaven National Laboratory's Acquisition Management System.
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Text version
Date Printed 6/11/2024 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. 479982
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 Upton, NY 11973
Attention:
To whom it may concern:
In compliance with your letter of solicitation dated ___________, we submit our Quotation No.
___________________________ dated _______________, for a digital teslameter. Our UEI number is ________________. The country of origin of the oven is_________________________.
This price shall remain firm for 90 days.
The terms of delivery and payment terms are FOB Destination, Net 30 Days.
Concurrence:
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:
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