B08_Att_3_Seed_Analysis_Request_Form_Revised_2023.docx
DOCX document 38 KB Posted
- Attached to
- BLM FY24-1 Spring Consolidated Seed Buy.
- Solicitation number
- 140L3724R0005
About this file
This document is a seed analysis request form and instructions for contractors bidding on the BLM FY24-1 Spring Consolidated Seed Buy solicitation. The form requires contractors to provide species and variety details, seed vendor and lot information, sampling details including dates and lab tests requested. It directs contractors to send completed forms with every seed delivery to one of three BLM regional seed warehouses in Boise, Ely or Shoshone, Idaho. Contractors must bear the costs of seed sampling and testing and authorize results to be released to the government and vendor. The related solicitation is for the BLM FY24-1 Spring Consolidated Seed Buy and seeks seed products to be delivered by contractors to the listed BLM warehouses in Idaho by the specified dates.
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Other files
| File | Type | Posted |
|---|---|---|
| B08_140L3724R0005_Solicitation_.pdf | ||
| B08_Att_4_Itemized_Delivery_Sheet.xlsx | XLSX spreadsheet | |
| B08_Attachment-1-Bid_Sheet_Spring_2024_final.xlsx | XLSX spreadsheet | |
| Sol_140L3724R0005.pdf | ||
| B08_Att_2_AOC_collection.docx | DOCX document |
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Text version
SEED ANALYSIS REQUEST FORM
This Attachment must be completed by the Contractor and Certified Sampler to provide Seed Testing Information to a seed laboratory as described in the Inspection and Acceptance Section of the Solicitation. Contractor must send this Seed Analysis request form with every seed delivery to the BLM receiving warehouse after samples are taken. (With split lots, seed samples will be sent to each receiving warehouse.)
Spread Sheet ID# (SSID#)
Kind of Species
Common Name
Variety or Germplasm ID. / Gen.
Eco-Region & Seed Zone
G0 County, State, Elev, Precip
Seed Vendor Name
Vendor Lot Number
Samplers Affiliated Agency
Name of Sampler, Print
Signature of Sampler & Date
Lab sample will be sent to
Lot Information
| Certification Class |
| Yes |
| No |
| Tests Requested |
Total Pounds
| Certified | ||
| ☐ | ☐ | Purity |
| ☒ |
Number of Bags
| Selected | ||
| ☐ | ☐ | TZ |
| ☒ |
Bag Size
| Source Identified | ||
| ☐ | ☐ | Noxious |
(All Western States)
Number of Bags Sampled
| Non-Certified | ||
| ☐ | ☐ | Species Check (Annual non-Native Bromes) |
| ☒ |
Date Sampled
| Seed Treated? | ||
| ☐ | ☐ | Rush |
| ☒ |
Date Sample Sent to Lab
| If treated please list type |
| Results sent to vendor & BLM |
| ☒ |
| Remarks: |
| Vendor email address: |
Contractor: The seed sampling and testing costs shall be borne by the contractor.
I hereby authorize the Seed lab to release the test result to the government upon completion of the test.
Signature__________________________________ Date_________
Seed Lab: All test results will be sent to the seed vendor email address listed above and the BLM at the following address: blm_id_seed_all@blm.gov
Office/Organization Purchasing Seed
| Pounds Delivered |
| Bill To: |
Boise Regional Seed Warehouse 1962 Commerce Ave Boise, ID 83705 Phone: 208-384-3277 (Brittany Brosnan)
CONTRACTOR
Ely Regional Seed Warehouse 1111 Medlyn Way Ely, NV 89301 Phone: 775-296-2204 (Cody Coombs)
CONTRACTOR
Shoshone Seed Warehouse 329 N Highway 75 Shoshone, ID 83352 Phone: 208-732-7208 (Tony Owens)
CONTRACTOR
| Seed Tags attached to this form prior to sampler filling out paperwork |
| ☐ |
| Yes ☐ No |
ATTACHMENT 3
File details come from the government source that posted it. Updated .