Att_2_AOC_collection.docx
DOCX document 16 KB Posted
- Attached to
- BLM FY25-2 Fall Consolidated Seed Buy. Federal contract opportunity
- Solicitation number
- 140L3725R0006
About this file
This document is an Area of Origin Claimed (AOC) collection statement for non-certified wildland collected or non-certified cultivated seed species, specifically for the Bureau of Land Management (BLM) Fall Consolidated Seed Buy (Solicitation Number 140L3725R0006). The form requires detailed documentation from seed collectors, including precise geographic origin information such as state, county, elevation, latitude, and longitude for the seed collection site.
The document mandates that seed collectors provide a signed statement verifying the seed species, collection location, and buyer information. It includes a formal warning about potential legal consequences for false statements under 18 U.S.C.1001, which can result in fines or imprisonment up to 5 years for knowingly providing fraudulent information. The form is designed to ensure traceability and accuracy of seed origin for the BLM's seed procurement process, with specific requirements for both wildland collected and cultivated seed germplasm.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Sol_140L3725R0006.pdf | ||
| Att_1-Bid_Request_Fall_25-2.xlsx | XLSX spreadsheet | |
| 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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