Quotation Sheet Attachment D.pdf
PDF 170 KB Posted
- Attached to
- X-ray Reflectometer
- Solicitation number
- 481221
- Issued by
-
Department of Energy Office of Science
About this file
This document is a Quotation 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 form, designated AMS-Form-043 Revision 0.1, was approved on December 14, 2020, and printed on August 14, 2026.
The quotation references BSA Request for Quotation No. 481221 for an X-ray Reflectometer to be submitted to Yanice Kirkendall in the Procurement and Property Management Division at BNL's Upton, New York facility. Responding vendors must complete the form with their quotation number, quotation date, total price, country of origin, company information, and authorized signature. Pricing must remain firm for 30 days, with delivery and payment terms specified as FOB Destination, Net 30 Days. By signing the concurrence section, vendors acknowledge agreement to BSA's requirements, terms and conditions, delivery schedule, and commit to providing necessary resources to meet the specified delivery timeline. The form serves as a template for suppliers to submit formal pricing responses to this procurement solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment G W-8.pdf | ||
| A.2 2026_SOW_XRR_703.pdf | ||
| B.1 RFQ 481221 Rev1.pdf | ||
| Attachment E ACH Authorization.pdf | ||
| Draft PO Attachment A.PDF | ||
| Attachment F W-9.pdf | ||
| Attachment C AMS-FORM-050.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Date Printed 8/14/2026 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. 481221
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973
Attention: Yanice Kirkendall Procurement and Property Management Division To whom it may concern:
In compliance with your letter of solicitation dated 08/10/2026, we submit our Quotation No.
___________________________ dated _______________, for [X-ray Reflectometer].
Total Price $_____________
This price shall remain firm for [30] days.
Country of Origin:
The terms of delivery and payment terms are FOB Destination, Net 30 Days.
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.
Company _____________________ Signature _____________________
Address ______________________ Typed Name __________________
______________________________ Title _________________________
Telephone No.___(___)__________ Date _________________________
Concurrence:
File details come from the government source that posted it. Updated .