Enclosure C - Quotation Pricing Sheet.pdf
PDF 153 KB Posted
- Attached to
- Professional Water Cooler Cleaning Services
- Solicitation number
- SJ452217
- Issued by
-
Department of Energy Office of Science
About this file
This is a Quotation Pricing Sheet form (AMS-Form-043) for RFQ 452217 issued by Brookhaven National Laboratory for Water Cooler Cleaning Services. The form requires vendors to submit pricing for a base year plus four one-year options, with two service categories: Routine Cleaning (performed every 6 months per container) and On-Call As Needed Service, both priced per container on a firm-fixed-price basis.
The form includes spaces for vendors to input percentage escalation rates for both service categories across all four option years. Vendors must complete their company information, including signature, address, telephone number, and UEI number, while acknowledging agreement to BSA's requirements, terms and conditions, and delivery schedule. The form was approved by L. McKnight (PPM Manager) on 12/14/2020 and is addressed to Stephen Johnston, Contract Specialist at Brookhaven Science Associates, LLC in Upton, NY.
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Text version
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. 452217 01/24/2025 Water Cooler Cleaning Services
Brookhaven National Laboratory Brookhaven Science Associates, LLC P.O. Box 5000 – Bldg. 902 Upton, NY 11973
Attention: Stephen Johnston, Contract Specialist
To whom it may concern:
In compliance with your letter of solicitation for RFQ 452217, we submit our Quotation No. ____________ dated ______________, for Water Cooler Cleaning Services for base year with four (4) one (1) year options.
Base Year Pricing
Routine Cleaning - Firm Fixed Price – Frequency (Every 6 Months)/ Per Container $____________ On-Call – As Needed Service (Fixed Price)/ Per Container $____________
Option Year 1 % escalation rate Routine Cleaning ________ Option Year 1 % escalation rate On-Call – As Needed Service ______
Option Year 2 % escalation rate Routine Cleaning _____ Option Year 2 % escalation rate On-Call – As Needed Service ______
Option Year 3 % escalation rate Routine Cleaning _____ Option Year 3 % escalation rate On-Call – As Needed Service ______
Option Year 4 % escalation rate Routine Cleaning _______ Option Year 4 % escalation rate On-Call – As Needed Service ______
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____________________________
UEI NO._________________________________
| 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 |
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