4-Vendor Statement Blister Beetle Mitigation Fillable Form.docx
DOCX document 24 KB Posted
- Attached to
- Equine Feed - Hay for Dallas Mounted Unit
- Solicitation number
- BC25 - 00028790
- Issued by
- Dallas County, Texas
About this file
This is a vendor certification form for the City of Dallas related to a three-year Indefinite Delivery/Indefinite Quantity (ID/IQ) master agreement for equine feed—specifically hay for horses assigned to the Dallas Police Department Mounted Unit. Solicitation number BC25-00028790 requires bidders to provide Alfalfa hay that meets specific blister beetle mitigation standards. Vendors must certify that their hay was sourced from fields with minimal blister beetle presence, harvested using appropriate methods to reduce blister beetle risk, and visually inspected prior to sampling and before each delivery. The form requires bidders to submit laboratory analysis reports along with details regarding harvest location, cutting number, harvest date, and visual inspection results for the hay sample provided with their bid package.
Vendors completing this certification form acknowledge that failure to comply with the blister beetle mitigation requirements outlined in the solicitation specifications may result in rejection of deliveries and termination of any resulting contract at the City's discretion. The certification must be completed by an authorized representative of the bidding organization and submitted as part of the bid package. The form serves as a quality assurance mechanism to ensure that all hay delivered under the contract meets the City's health and safety standards for equine feed, protecting the mounted unit horses from potential blister beetle poisoning.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-02 - Standard Forms.pdf | ||
| 3-03 - OPS-FRM-640 -Team Make-Up and Local Workforce Form.xlsx | XLSX spreadsheet | |
| 1-01 Specifications.pdf |
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Text version
City of Dallas – Vendor Statement Blister Beetle Mitigation Certification – Alfalfa Hay Solicitation Title: Equine Feed – Hay for City of Dallas Solicitation Number: __BC25 - 00028790____________ Bidder Name: Click or tap here to enter text.
Contact Person: Click or tap here to enter text.
Phone Number: Click or tap here to enter text.
Email Address: Click or tap here to enter text.
Certification Statement
I, the undersigned, hereby certify that the Alfalfa hay used for the laboratory analysis report submitted with this bid package, and all Alfalfa hay to be delivered under any resulting contract:
· Was sourced from fields and cuttings with minimal blister beetle (Epicauta spp.) presence
· Was harvested using appropriate methods to reduce blister beetle risk (e.g., no mechanical crimping unless mitigation practices are certified)
· Was visually inspected prior to sampling and will continue to be inspected prior to each delivery
· Will continue to meet the blister beetle mitigation requirements outlined in Section V.2.a.vi.1 and Section V.2.b.ii.3 of the solicitation specifications
Details of Hay Sample Submitted for Laboratory Analysis
· Harvest Location: Click or tap here to enter text.
· Cutting Number: Click or tap here to enter text.
· Date of Harvest: Click or tap here to enter text.
· Visual Inspection Results: Click or tap here to enter text.
I understand that failure to comply with these requirements may result in rejection of deliveries and/or termination of any resulting contract at the City’s discretion.
Authorized Signature: ___________________________________________ Printed Name: Click or tap here to enter text.
Title: Click or tap here to enter text.
Date: Click or tap to enter a date.
File details come from the government source that posted it. Updated .