Att_2_AOC_collection.docx
DOCX document 16 KB Posted
- Attached to
- BLM FY22-2 Fall Consolidated Seed Buy. Federal contract opportunity
- Solicitation number
- 140L3722R0020
About this file
This document contains an attachment for a Bureau of Land Management seed buy solicitation. The attachment is a form for sellers of non-certified wildland or cultivated seed to provide details on the species and origin of the seed. It requests the seed collector and seller's contact information as well as signatures certifying the accuracy of the claimed origin of the seed. The related federal contract opportunity is the BLM FY22-2 Fall Consolidated Seed Buy solicited by the Department of the Interior Bureau of Land Management Idaho Region. No other details are provided on the required products or services, response dates, or award information.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A06_Fall_Buy_Sol_spec_and_clauses_final_070122_Amend_001_final_0001.docx | DOCX document | |
| Sol_140L3722R0020_Amd_0001.pdf | ||
| B09_Quetions_and_Answers_from_Pre-bid_call_0001.docx | DOCX document | |
| Attachment-1-Bid_Sheet_Fall_2022_Final.xlsx | XLSX spreadsheet | |
| Att_3_Seed_Analysis_Request_Form_Revised_2021.docx | DOCX document | |
| Sol_140L3722R0020.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .