Pricing Sheet - Hydrogen deliveries.docx

Pricing Sheet AMOUNT OF HYDROGEN TO BE DELIVERED BI-WEEKLY, ON AN ANNUAL BASIS APPX. 47,500 CUBIC FEET, AMOUNT OF HYDROGEN IS AN ESTIMATE.

THE CONTRACTOR SHALL BE PAID FOR ACTUAL USAGE.

APPROXIMATELY 180 CYLINDERS PER YEAR

BASE YEAR

Hydrogen Gas $ ____________ per cylinder (196cf to 300 cf., 300 cf. preferred)

Delivery Fee $ _____________ per delivery (26 WEEKS, bi-weekly)

Hazmat Charges $ _____________ per delivery

Cylinder Rent $ _________________ per cylinder per day or per month (circle one)

Additional Fees $ _________________ (identify name of fee, price, and frequency, if applicable)

OPTION YEAR 1

Hydrogen Gas $ ____________ per cylinder (196cf to 300 cf., 300 cf. preferred)

Delivery Fee $ _____________ per delivery (26 WEEKS, bi-weekly)

Hazmat Charges $ _____________ per delivery

Cylinder Rent $ _________________ per cylinder per day or per month (circle one)

Additional Fees $ _________________ (identify name of fee, price, and frequency, if applicable)

OPTION YEAR 2

Hydrogen Gas $ ____________ per cylinder (196cf to 300 cf., 300 cf. preferred)

Delivery Fee $ _____________ per delivery (26 WEEKS, bi-weekly)

Hazmat Charges $ _____________ per delivery

Cylinder Rent $ _________________ per cylinder per day or per month (circle one)

Additional Fees $ _________________ (identify name of fee, price, and frequency, if applicable)

OPTION YEAR 3

Hydrogen Gas $ ____________ per cylinder (196cf to 300 cf., 300 cf. preferred)

Delivery Fee $ _____________ per delivery (26 WEEKS, bi-weekly)

Hazmat Charges $ _____________ per delivery

Cylinder Rent $ _________________ per cylinder per day or per month (circle one)

Additional Fees $ _________________ (identify name of fee, price, and frequency, if applicable)

OPTION YEAR 4

Hydrogen Gas $ ____________ per cylinder (196cf to 300 cf., 300 cf. preferred)

Delivery Fee $ _____________ per delivery (26 WEEKS, bi-weekly)

Hazmat Charges $ _____________ per delivery

Cylinder Rent $ _________________ per cylinder per day or per month (circle one)

Additional Fees $ _________________ (identify name of fee, price, and frequency, if applicable)

Hydrogen gas shall be industrial grade with a purity of 99.9% or better.

THIS PURCHASE ORDER SHALL NOT EXCEED THE TOTAL AMOUNT FUNDED. SHOULD ANY ADDITIONAL SERVICES AND/OR PARTS BE REQUIRED TO COMPLETE THE SERVICE/SUPPLY, THE CONTRACTOR SHALL NOT CONTINUE WITHOUT WRITTEN AUTHORIZATION BY THE CONTRACTING OFFICER(CO). ANY SERVICES/SUPPLIES PROVIDED WITHOUT WRITTEN AUTHORIZATION FROM THE CO MAY RESULT IN NON-PAYMENT BY THE GOVERNMENT FOR SERVICES/SUPPLIES RENDERED. NO FUNDING WILL BE PROVIDED FOR THE OPTION PERIOD UNLESS THE OPTION PERIOD IS EXERCISED BY A MODIFICATION TO THIS PURCHASE ORDER.