B08_Att_3_Seed_Analysis_Request_Form_revised_072024_0001.docx
DOCX document 34 KB Posted
- Attached to
- BLM FY24-2 Fall Consolidated Seed Buy. Federal contract opportunity
- Solicitation number
- 140L3724R0010
About this file
This document is a Seed Analysis Request Form that must be completed by the contractor to provide authorization for seed testing and associated fees. The form includes sections for the contractor to provide information about the seed vendor, seed species, seed lot, delivery locations, and the specific tests requested, such as purity, tetrazolium (TZ), noxious weeds, and species check. The contractor must sign and submit the form to the Bureau of Land Management (BLM) for each seed lot being delivered.
The form is related to the BLM FY24-2 Fall Consolidated Seed Buy, a federal contract opportunity with Solicitation Number 140L3724R0010. This solicitation is issued by the Department of the Interior Bureau of Land Management Idaho Region for the procurement of various seeds. The contractor is responsible for the seed sampling and testing costs.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140L3724R0010_Amd_0001.pdf | ||
| B09_QandAs_from_PreBid_Call_0001.docx | DOCX document | |
| B08_Att_1-Bid_Request_Fall_24-2.xlsx | XLSX spreadsheet | |
| B08_Att_4_Itemized_Delivery_Sheet.xlsx | XLSX spreadsheet | |
| B08_Att_2_AOC_collection.docx | DOCX document | |
| Sol_140L3724R0010.pdf | ||
| B08_140L3724R0010_24-2_Solicitation.pdf | ||
| B08_Att_3_Seed_Analysis_Request_Form__amended_for_2024.docx | DOCX document |
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Text version
SEED ANALYSIS REQUEST FORM
This Attachment must be completed by the Contractor to provide authorization for testing and associated fees. Contractor shall fill out section A, sign the document, and email this form to the BLM for every seed lot being delivered.
SECTION A – TO BE FILLED BY CONTRACTOR
Seed Vendor Name
Seed Vendor Email (for test results)
Seed Species
Common Name
Seed Variety or Germplasm
Eco-Region & Seed Zone
Seed Lot Number
Spread Sheet ID# (SSID#)
| Delivery locations & pounds |
| Boise-_______ lbs, Ely- _______ lbs, Shoshone-_______ lbs |
Tests Requested
| Purity |
| ☒ |
| TZ |
| ☒ |
Noxious (All Western States)
| Species Check (Annual non-Native Bromes) |
| ☒ |
| Rush |
| ☒ |
| Results sent to vendor & BLM |
| ☒ |
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_______________
SECTION B – TO BE FILLED BY SAMPLER/BLM
Samplers Affiliated Agency
Name of Sampler, Print
Signature of Sampler
Date Sample Taken
Lab sample will be sent to
Seed Lot Sampling Information
Total Pounds
| Certified |
| ☐ |
| Number of Bags |
| Selected |
| ☐ |
| Bag Size |
| Non-Certified |
| ☐ |
| Number of Bags Sampled |
| Source Identified |
| ☐ |
| Date Sampled |
| AOC/other |
| ☐ |
Seed Laboratory Instructions:
· 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
· Testing fees will be charged to the contractor listed in Section A.
ATTACHMENT 3
File details come from the government source that posted it. Updated .