B08_Att_3_Seed_Analysis_Request_Form_Revised_2023.docx

DOCX document 38 KB Posted

Attached to
FY24 STAND ALONE SEED BUY-FORAGE KOCHIA
Solicitation number
140L3724R0003
Issued by

About this file

This document includes a seed analysis request form and details of a federal contract opportunity for forage kochia seed. The seed analysis request form is to be completed by contractors and certified samplers to provide seed testing information to laboratories. It requests key details about seed lots including species, variety, location, vendor, sampling details, and test requests.

The related federal contract opportunity is a solicitation to purchase stand-alone forage kochia seed to be delivered to warehouses in Boise and Shoshone, Idaho and Ely, Nevada. The NAICS code is 113210 and awards will be made on a best value basis to responsible offerors. The Bureau of Land Management seeks to award multiple fixed-price contracts by January 22, 2024 for various quantities of forage kochia seed specified in Attachment 1. Offerors must be registered in SAM.gov and have completed online representations and certifications to be eligible for award.

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Other files

File Type Posted
B08_Att_2_AOC_collection.docx DOCX document
B08_Att_4_Itemized_Delivery_Sheet.xlsx XLSX spreadsheet
Sol_140L3724R0003.pdf PDF
B08_Attachment_1_Requested_Seed_Kochia_Stand_Alone_Seed_Buy.xlsx XLSX spreadsheet

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Text version

SEED ANALYSIS REQUEST FORM

This Attachment must be completed by the Contractor and Certified Sampler to provide Seed Testing Information to a seed laboratory as described in the Inspection and Acceptance Section of the Solicitation. Contractor must send this Seed Analysis request form with every seed delivery to the BLM receiving warehouse after samples are taken. (With split lots, seed samples will be sent to each receiving warehouse.)

Spread Sheet ID# (SSID#)

Kind of Species

Common Name

Variety or Germplasm ID. / Gen.

Eco-Region & Seed Zone

G0 County, State, Elev, Precip

Seed Vendor Name

Vendor Lot Number

Samplers Affiliated Agency

Name of Sampler, Print

Signature of Sampler & Date

Lab sample will be sent to

Lot Information

Certification Class
Yes
No
Tests Requested

Total Pounds

Certified
☐☐Purity
☒

Number of Bags

Selected
☐☐TZ
☒

Bag Size

Source Identified
☐☐Noxious

(All Western States)

Number of Bags Sampled

Non-Certified
☐☐Species Check (Annual non-Native Bromes)
☒

Date Sampled

Seed Treated?
☐☐Rush
☒

Date Sample Sent to Lab

If treated please list type
Results sent to vendor & BLM
☒
Remarks:
Vendor email address:

Contractor: The seed sampling and testing costs shall be borne by the contractor.

I hereby authorize the Seed lab to release the test result to the government upon completion of the test.

Signature__________________________________ Date_________

Seed Lab: All test results will be sent to the seed vendor email address and the BLM at the following address: blm_id_seed_all@blm.gov

Office/Organization Purchasing Seed

Pounds Delivered
Send Test To:
Bill To:

Boise Regional Seed Warehouse 1962 Commerce Ave Boise, ID 83705 Phone: 208-384-3277 (Cedrick Sweet)

blm_id_seed_all@blm.gov
CONTRACTOR

Ely Regional Seed Warehouse 1111 Medlyn Way Ely, NV 89301 Phone: 775-296-2204 (Cody Coombs)

blm_id_seed_all@blm.gov
CONTRACTOR

Shoshone Seed Warehouse 329 N Highway 75 Shoshone, ID 83352 Phone: 208-732-7208 (Tony Owens)

blm_id_seed_all@blm.gov
CONTRACTOR
Seed Tags attached to this form prior to sampler filling out paperwork:
☐
Yes ☐ No

ATTACHMENT 3

File details come from the government source that posted it. Updated .