Att_2_AOC_collection.docx
DOCX document 16 KB Posted
- Attached to
- BLM FY26-2 Fall Consolidated Seed Buy. Federal contract opportunity
- Solicitation number
- 140L3726R0004
About this file
This is an Area of Origin Claimed (AOC) Statement form required by the Bureau of Land Management (BLM) for non-certified wildland collected or non-certified germplasm cultivated seed deliveries under the BLM FY26-2 Fall Consolidated Seed Buy solicitation. The form must be completed and submitted at the time of delivery for all seed items designated with the AOC identifier in the contract schedule.
The AOC Statement requires the seed collector to provide detailed origin information including the species name, geographic location (state, county, elevation, latitude, and longitude), and collector contact details (signature, name, address, phone, and email). For cultivated seed, suppliers must document both the original claimed geographic site and the actual cultivation site location, including lot numbers. The form also requires buyer signature and identification. The document includes a penalty statement referencing 18 U.S.C. Section 1001, which imposes fines and imprisonment of up to five years for knowingly making false statements on this certification. This form serves as the compliance documentation mechanism for seed sourcing transparency in the BLM's consolidated seed procurement process.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| B08_Att_1-Bid_Request_Spring_26-2_Final.xlsx | XLSX spreadsheet | |
| Sol_140L3726R0004.pdf | ||
| Att_3_Seed_Analysis_Request_Form_revised_072024.docx | DOCX document | |
| Att_4_Itemized_Delivery_Sheet_2025.xlsx | XLSX spreadsheet |
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Text version
ATTACHMENT 2
BLM - RSW SEED BUY
NON-CERTIFIED WILDLAND COLLECTED OR NON-CERTIFIED CULTIVATED SEED SPECIES/AREA OF ORIGIN CLAIMED (AOC) STATEMENT
NOTE: Attachment 2 shall be provided for all non-certified wildland collected or non-certified germplasm cultivated seed. Items identified with letter designator AOC in the schedule. This form is to be used only for non-certified germplasm seed – required at time of delivery.
I hereby claim that the seed collected was from _________________________ species.
Origin Information: (where the seed is growing).*
State: _________________________________________
County: _________________________________________
Elevation: _________________________________________
Latitude: _________________________________________
Longitude: _________________________________________
*If seed is cultivated, provide State, County, Elevation, Lat/Long and Lot Number for both the original claimed geographic site of the seed and where the cultivation site is located.
| __________________________________ | _________________ | |
| Seed Collector Signature | Date |
Seed Collector Name: __________________________________
Address: __________________________________
City/State/Zip __________________________________ Phone: _____________
Email address: __________________________________
This collected seed was sold to: __________________________________
Name and Address of Buyer: ____________________________________________________
| _______________________________________ | __________________ | ||
| Signature (Buyer) | Date |
The penalty for making false statements, relating to this statement, is as prescribed in 18U.S.C.1001, which states in part: A(a) Except as otherwise provided in this section, whoever, in any manner within the jurisdiction of the executive, legislative, or judicial branch of the Government of the United States, knowingly and willfully – (1) falsifies, conceals, or covers up by a trick, scheme, or device a material fact; (2) makes any materially false, fictitious or fraudulent statement or representation; or (3) makes or uses any false writing or document knowing the same to contain any material false, fictitious, or fraudulent statement or entry; shall be fined under this title or imprisoned not more than 5 years or both.
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