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Enclosure 2
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
APPROVED BY:
Don Rawlings/ 3/24/10
PPM Manager/Date
Quotation Pricing Sheet
Reference: BSA Request for Quotation No. 464274 Carbon Change-Out Services
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902B Upton, L.I., NY 11973
| Attention: | Ben Furlow |
| Sr. Contracts Specialist |
In compliance with your letter of solicitation dated July 02, 2025, we submit our Quotation No._____________ dated _______________, for the referenced scope of work.
Base Contract Year
| Project Name |
| Type of Carbon |
| Volume (Pounds) |
| Cost Per Event |
| Estimated Number Per Year |
| Total Amount |
| Cost Per Exchange w/ Virgin Carbon |
| Airport/LIPA |
| Liquid |
| 20,000 |
| Industrial Park Modification |
| Liquid |
| 5,000 |
| North Street |
| Liquid |
| 20,000 |
| North Street East |
| Liquid |
| 20,000 |
| Current Fire House |
| Liquid |
| 18,000 (Note 1) |
| Former Fire House |
| Liquid |
| 18,000 (Note 1) |
| Portable Units* |
| Liquid |
| 1,000 |
| 55 Gallon Drums |
| Liquid |
| 200 |
Total
Notes:
1) Coconut Shell carbon is lighter than Bituminous carbon so 18,000 pounds should equal a required fill volume of approximately 700 Cubic Feet.
*Assume that these change-outs will be combined with another change-out.
Option Year 1
| Project Name |
| Type of Carbon |
| Volume (Pounds) |
| Cost Per Event |
| Estimated Number Per Year |
| Total Amount |
| Cost Per Exchange w/ Virgin Carbon |
| Airport/LIPA |
| Liquid |
| 20,000 |
| Industrial Park Modification |
| Liquid |
| 5,000 |
| North Street |
| Liquid |
| 20,000 |
| North Street East |
| Liquid |
| 20,000 |
| Current Fire House |
| Liquid |
| 18,000 (Note 1) |
| Former Fire House |
| Liquid |
| 18,000 (Note 1) |
| Portable Units* |
| Liquid |
| 1,000 |
| 55 Gallon Drums |
| Liquid |
| 200 |
Total
1) Coconut Shell carbon is lighter than Bituminous carbon so 18,000 pounds should equal a required fill volume of approximately 700 Cubic Feet.
*Assume that these change-outs will be combined with another change-out.
Option Year 2
| Project Name |
| Type of Carbon |
| Volume (Pounds) |
| Cost Per Event |
| Estimated Number Per Year |
| Total Amount |
| Cost Per Exchange w/ Virgin Carbon |
| Airport/LIPA |
| Liquid |
| 20,000 |
| Industrial Park Modification |
| Liquid |
| 5,000 |
| North Street |
| Liquid |
| 20,000 |
| North Street East |
| Liquid |
| 20,000 |
| Current Fire House |
| Liquid |
| 18,000 (Note 1) |
| Former Fire House |
| Liquid |
| 18,000 (Note 1) |
| Portable Units* |
| Liquid |
| 1,000 |
| 55 Gallon Drums |
| Liquid |
| 200 |
Total
1) Coconut Shell carbon is lighter than Bituminous carbon so 18,000 pounds should equal a required fill volume of approximately 700 Cubic Feet.
*Assume that these change-outs will be combined with another change-out.
Option Year 3
| Project Name |
| Type of Carbon |
| Volume (Pounds) |
| Cost Per Event |
| Estimated Number Per Year |
| Total Amount |
| Cost Per Exchange w/ Virgin Carbon |
| Airport/LIPA |
| Liquid |
| 20,000 |
| Industrial Park Modification |
| Liquid |
| 5,000 |
| North Street |
| Liquid |
| 20,000 |
| North Street East |
| Liquid |
| 20,000 |
| Current Fire House |
| Liquid |
| 18,000 (Note 1) |
| Former Fire House |
| Liquid |
| 18,000 (Note 1) |
| Portable Units* |
| Liquid |
| 1,000 |
| 55 Gallon Drums |
| Liquid |
| 200 |
Total
1) Coconut Shell carbon is lighter than Bituminous carbon so 18,000 pounds should equal a required fill volume of approximately 700 Cubic Feet.
*Assume that these change-outs will be combined with another change-out.
Option Year 4
| Project Name |
| Type of Carbon |
| Volume (Pounds) |
| Cost Per Event |
| Estimated Number Per Year |
| Total Amount |
| Cost Per Exchange w/ Virgin Carbon |
| Airport/LIPA |
| Liquid |
| 20,000 |
| Industrial Park Modification |
| Liquid |
| 5,000 |
| North Street |
| Liquid |
| 20,000 |
| North Street East |
| Liquid |
| 20,000 |
| Current Fire House |
| Liquid |
| 18,000 (Note 1) |
| Former Fire House |
| Liquid |
| 18,000 (Note 1) |
| Portable Units* |
| Liquid |
| 1,000 |
| 55 Gallon Drums |
| Liquid |
| 200 |
Total
1) Coconut Shell carbon is lighter than Bituminous carbon so 18,000 pounds should equal a required fill volume of approximately 700 Cubic Feet.
*Assume that these change-outs will be combined with another change-out.
Prices shall be quoted in U.S. dollars Payment terms are Net 10 for small business, Net 30 for large business.
This price shall remain firm for 120 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 agree to provide the resources necessary to meet BSA's delivery schedule. Our firm also agrees that we are registered in SAM.gov, the small business size status, and Reps & Certs are up-to-date and accurate in SAM.gov.
| Company _____________________ |
| Signature _____________________ |
| Address ______________________ |
| Typed Name __________________ |
| ______________________________ |
| Title _________________________ |
| Telephone No.___(___)__________ |
| Date ____________________ |
UEI No.: ___________________
Department of Energy Office of Science