Att 2 AOC collection.docx
DOCX document 16 KB Posted
- Attached to
- BLM FY21-1 Spring Consolidated Seed Buy.
- Solicitation number
- 140L3721R0002
About this file
This document contains an Attachment 2 form and information on a related federal contract opportunity. The Attachment 2 form is to be used for non-certified wildland collected or non-certified cultivated seed and requires the seed collector to provide details on the species, origin, elevation, latitude and longitude of where the seed was collected or cultivated. If cultivated, the form requires the original collection site details as well as the cultivation site location. The related federal contract opportunity is the BLM FY21-1 Spring Consolidated Seed Buy solicitation issued by the Department of the Interior Bureau of Land Management Idaho Region. No further details are provided on the required products or services, response dates, or award information.
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Other files
| File | Type | Posted |
|---|---|---|
| B09 Sol_140L3721R0002 spec and clauses_revised Prebid call_0001.docx | DOCX document | |
| B11 Seed Meeting sign in sheet_0001.xlsx | XLSX spreadsheet | |
| Sol_140L3721R0002_Amd_0001.pdf | ||
| B11 PreBid conference Call Questions and Answers_0001.docx | DOCX document | |
| Sol_140L3721R0002.pdf | ||
| Attachment-1-Bid_Sheet_Spring_2021.xlsx | XLSX spreadsheet | |
| Att 3 Seed Analysis Request Form Revised 2020.docx | DOCX document | |
| Att 4 Seed Inspection.docx | DOCX document |
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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.
File details come from the government source that posted it. Updated .