RFQ Solicitation No.480664 - Enclosure C - Quotation Pricing Sheet (AMS-Form-043).pdf
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- Solicitation number
- 480664
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet (AMS-Form-043) issued by Brookhaven National Laboratory, managed by Brookhaven Science Associates, LLC under contract to the U.S. Department of Energy. The solicitation references BSA Request for Quotation No. 480664, dated June 30, 2026, for custom fabricated stainless steel end station tubes and body housing components.
The quotation requests pricing for three line items: (1) Stainless Steel Type 206 CSX End Station Tube, Theta (Part No. PD-CSX-ES-1411), (2) Stainless Steel Type 304 CSX End Station Body Housing (Part No. PD-CSX-ES-1422), and (3) Stainless Steel Type 304 CSX End Station Tube, Delta, Rotary (Part No. PD-CSX-ES-1431), each with a quantity of one unit. Responding vendors must provide unit prices for each item and a total price. The quoted price shall remain firm for ninety (90) days. Delivery and payment terms are FOB Origin with Net 30 Days for Large Businesses and Net 10 Days for Small Businesses. Vendors must sign the concurrence section acknowledging agreement to BSA's requirements, terms and conditions, delivery schedule, and commitment to provide necessary resources. The form requires submission of company information, signatory details, telephone number, and Company Unique Entity Identification Number.
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Enclosure (C)
Date Printed 6/30/2026 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.480664 Custom Fabricated Stainless Steel End Station Tubes & Body Housing
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 101 Upton, NY 11973
Attention:
To whom it may concern:
In compliance with your letter of solicitation dated June 30, 2026, we submit our Quotation No.___________ dated ___________, for Custom Fabricated Stainless Steel End Station Tubes & Body Housing.
Item Part No. Description Qty Unit Price
1 PD-CSX-ES-1411 Stainless Steet Type 206 CSX 1 $_________ End Station Tube, Theta
2 PD-CSX-ES-1422 Stainless Steel Type 304 CSX 1 $_________ End Station Body Housing
3 PD-CSX-ES-1431 Stainless Steel Type 304 CSX 1 $_________ End Station Tube, Delta, Rotary
Total Price…………………………………………………………….. $___________
This price shall remain firm for ninety (90) days.
The terms of delivery and payment terms are FOB Origin, Net 30 Days Large Businesses / Net 10 Days Small Businesses.
Enclosure (C)
Date Printed 6/30/2026 2 of 2 Date Approved 12/14/2020
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 _________________________
Company Unique Entity Identification No.:_________________________
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