This advertisement includes: (1) 10-16, Calahan Mudaxle Commercial Thinning 4,028 MBF (2) 10-15, Milk Shake Commercial Thinning 643 MBF UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT 777 NW Garden Valley Blvd. Roseburg, Oregon 97471 Date: July 27, 2010 TIMBER SALE NOTICE NOTICE IS HEREBY GIVEN that the Bureau of Land Management will offer for sale timber as described herein for oral auction, pursuant to Instructions to Bidders, as stated on Form No. 5440-9 and subject to Notice of Requirement for Certification of Nonsegregated Facilities, Form No. 1140-4, attached. Written and oral bids will be received by the District Manager, or his representative, at 777 NW Garden Valley Blvd., Roseburg, Oregon 97471. The timber sale will commence at 10:00 a.m., on Tuesday, August 24, 2010. AN ENVIRONMENTAL ASSESSMENT was prepared for these sales, and a Finding of No Significant Impact has been documented. These documents are available for inspection as background for this sale at the Roseburg District Office. THIS TIMBER SALE NOTICE does not constitute the decision document for purposes of protest and appeal of a forest management decision. Consistent with 43 CFR Subpart 5003Administrative Remedies, the notice of a timber sale, when published as a legal ad in a newspaper of general circulation, shall constitute the decision document for purposes of protest and appeal. Protests may be filed with the Contracting Officer within 15 days after the first publication of the aforementioned decision document in the newspaper. It is anticipated that the decision document will be published in The News Review newspaper on or about July 27, 2010. BLM does not warrant publication on this exact date. All parties considering protest of the timber sale decision document are encouraged to review the aforementioned newspaper to ensure accurate knowledge of the exact publication date. A WRITTEN BID on Form No. 5440-9 at no less than the appraised price on a unit basis per species and the required minimum bid deposit shall be required to participate in oral bidding for each tract. APPRAISED PRICES are determined by analytical appraisal methods unless otherwise noted on individual timber sale notices. FOR SET-ASIDE TRACTS, the bidder must not have been determined by the Small Business Administration to be ineligible for preferential award of set-aside sales and must accompany his deposit with a self-certification statement that he is qualified as a small business concern as defined by the Small Business Administration in its regulations, Title 13, Chapter I, Part 121 as amended, of the Code of Federal Regulations. Form No. 5430-1, Self Certification Statement, and SBA Form 723, Small Business Certification Required on All Preferential Sales of Set-Aside Timber, are attached hereto. THE SUCCESSFUL BIDDER, as a condition of award, will be required to complete and/or sign the following forms: 1. Form No. 1140-6, Independent Price Determination Certificate, a certification that the bid was arrived at by the bidder or offeror independently, and was tendered without collusion with any other bidder or offeror. 2. Form No. 1140-7, Equal Opportunity Affirmative Action Program Representation, for all contracts over $10,000. 3. Form No. 1140-8, Equal Opportunity Compliance Report Certification. 4. Form No. 5450-17, Export Determination. PRE-AWARD QUALIFICATIONS. The high bidder may be required to furnish information to determine the ability to perform the obligations of the contract. If the high bidder is determined not qualified, responsible or refuses to respond within fifteen (15) days of a request for information pertaining to qualifications, the contract may be offered and awarded for the amount of the high bid to the highest of the bidders who is qualified, responsible, and willing to accept the contract. A PERFORMANCE BOND in an amount not less than twenty (20) percent of the total purchase price will be required for all contracts of $2,500 or more, but the amount of the bond shall not be in excess of $500,000, except when the Purchaser opts to increase the minimum bond as provided in 43 CFR 5451.2. A minimum performance bond of not less than $500 will be required for all installment contracts less than $2,500. LOG EXPORT AND SUBSTITUTION. All timber sales shall be subject to the restrictions relating to the export and substitution of unprocessed timber from the United States in accordance with P.L. 94-165 and 43 CFR 5400 and 5420, as amended. ADDITIONAL INFORMATION concerning each timber sale tract described herein is available at the above District Office. A copy of the timber sale contract is also available for inspection at the District Office. THE VOLUMES LISTED herein are estimates only, based on 16-foot taper breaks, which must be taken into consideration if comparisons are made with volume predictions based on other standards. The volumes based on 32-foot taper breaks are shown for comparison purposes. No sale shall be made for less than the total purchase price, without regard to the amount bid per unit, even though quantity of timber actually cut or removed or designated for taking is more or less than the estimated volume or quantity so listed. INSTALLMENT PAYMENTS may be authorized for sales of $500 or more. Required installments will be determined by BLM. For sales under $500,000, installments will not be less than ten (10) percent of the total purchase price. For sales of $500,000 or more, installment payments shall be $50,000. Attachments: Notice to Bidders Form No. 5440-9 Deposit and Bid for Timber/Vegetative Resource Form No. 1140-4 Notice of Requirement for Certification of Nonsegregated Facilities SBA Attachments: Form No. 5430-1, Self Certification Clause Form No. 723, Small Business Certification Required on All Preferential Sales of Set-Aside Timber SBA SET-ASIDE SALE Sale Date: August 24, 2010 (1) Roseburg Sale No. 10-16 Douglas County, Oregon: O&C: Oral Auction Sale Name: Calahan Mudaxle Commercial Thinning Bid Deposit Required: $16,300.00 All timber designated for cutting on: N½, NE¼SW¼, SE¼ Approx. Number Merch. Trees 30,367 1,366 22 24 31,779 Est. Vol. MBF 32' Log 3,246 134 1 1 3,382 Sec. 29, Est Vol. C Cu. Ft. 7,081 298 2 3 7,384 Species Douglas-fir Grand Fir W. Red-cedar Western Hemlock T. 26 S., Est. Vol. MBF 16' Log 3,864 162 1 1 4,028 R. 7 W., Appraised Price Per MBF $40.70 $28.20 * $184.60 $32.90 * Willamette Meridian Est. Volume Times Appraised Price $157,264.80 $4,568.40 $184.60 $32.90 $162,050.70 * BLM appraised price per MBF is a minimum stumpage value. THIS IS A TIMBER SALE SET-ASIDE FOR PREFERENTIAL BIDDING BY SMALL BUSINESS CONCERNS HAVING 500 OR FEWER EMPLOYEES AS DEFINED BY THE SMALL BUSINESS ADMINISTRATION. CRUISE INFORMATION The Douglas-fir and Grand Fir have been cruised using the 3P system to select sample trees. The sample trees have been cruised and their volume computed on form class tables for estimating volume in 16-foot lengths. The sample tree volumes were expanded to a total sale volume. A map showing the location of these sample trees is available at the Roseburg District Office. The volume of all other species has been determined by individual tree measurements using a 100% cruise. With respect to merchantable trees of all species: the average tree is 11.8” D.B.H.O.B., the average log contains 40 bd. ft., the total gross volume is approximately 4,187 M bd. ft., and 96% recovery is expected. CUTTING AREA: An area of approximately 201 acres in 1 unit is to be thinned and 4 acres of right-of-way must be clearcut. TIMBER ACREAGE: Area 1: 201 acres R/W: 4 acres ACCESS: Access to the sale area is provided by Government, County and Privately controlled roads. DIRECTIONS TO SALE AREA: To reach the sale area in Section 29, T. 26 S., R. 7 W., W.M., go west from Roseburg on County Road 6 (Garden Valley Road) to County Road 167 (Melrose Road). Turn left and proceed west on County Road 167 (Melrose Road) approximately 2.5 miles to the junction with County Road 90 (Doerner Rd.). Proceed west approximately 2.5 miles on County Road 90 to the junction of County Road 174 (Callahan Rd.) and turn right. Proceed northwest on County Road 174 to the junction with BLM Road 26-7-33.0 and follow the Exhibit D map to the sale area. To reach the sale area in the NW part of Section 29, go west/north from Roseburg on County Road 6 (Garden Valley) to County Road 6B. Turn left and proceed west on County Road 6B (Hubbard Creek) approximately 9 miles to the junction with BLM Road 26-7-7.0 (Hubbard Creek Road) continue approximately 1.75 miles to the junction with BLM Road 26-7-19.1, follow the Exhibit D map to the sale area. ROAD MAINTENANCE: Maintenance and rockwear fees of $14,106.05 will be required to be paid to the BLM. Road use fees of $23,616.96 will be required to be paid to Lone Rock Timber. ROAD CONSTRUCTION: Estimates include the following: construct 47+34 stations, renovate 64+75 stations, and decommission 20+94 stations of road. Additional information is available in Exhibit C of the Timber Sale Contract. DURATION OF CONTRACT will be 36 months for cutting and removal of timber. The contract will contain SPECIAL PROVISIONS regarding: logging; environmental protection; road construction, maintenance and use; fire prevention and control; slash disposal and site preparation; log exports; and non-segregated facilities. Log scaling may be required under the terms of this contract. NOTES: 1. A revised Special Provision has been added to the contract which enables the Contracting Officer to suspend the contract to facilitate protection of certain plant or animal species, and /or to modify or terminate the contract when necessary to: (1) Comply with the Endangered Species Act, or; (2) Comply with a court order, or; (3) Protect species which were identified for protection through survey and manage and/or protection buffer standards and guidelines established in the ROD and RMP. This contract provision limits the liability of the Government to the actual costs incurred by the Purchaser which have not been amortized by timber removed from the contract area. 2. Seasonal restrictions on operations apply (see attached Seasonal Restriction Matrix and Exhibit E). 3. Yarding of log lengths greater than forty-two (42) feet will not be permitted. 4. The Authorized Officer will need to be advised when any retention trees are damaged during falling or yarding operations, or when retention trees need to be cut for yarding corridors or safety purposes. 5. Directional falling away from or parallel to property lines, unit boundaries, roads, retention trees and snags will be required. Directional falling away from or parallel to reserve areas and riparian buffers will be required for all trees cut within 100 feet of these areas. 6. In the cable yarding areas, a skyline logging system with lateral yarding and multi-span capability will be required. One-end suspension of logs will be required. Cable yarding will not be permitted in or through reserve areas or riparian buffers. Note: In portions of Harvest Area No. 1, a larger yarder (70ft tower, 425hp) than described in the special provisions would be permitted due to long yarding distances (2100 ft). 7. A harvester/forwarder system, tractor, rubber-tired skidder, or track-mounted log loader may be used in the areas designated for ground-based yarding. Ground-based yarding is generally permitted between May 15 and October 15, both days inclusive. Minor and incidental ground-based yarding may be permitted in limited portions of the cable yarding areas; ground-based yarding seasonal restrictions apply, and the locations involved and equipment used must be approved by the Authorized Officer. 8. Portions of harvest area 1 will be available for winter logging from rocked roads. 9. Unsurfaced roads used for more than a single season or which must over-winter prior to decommissioning will be winterized in accordance with Exhibit C. 10. All equipment used in road construction and/or yarding operations will be cleaned and inspected for noxious weed seed prior to initial move-in on BLM lands. 11. A license agreement with Lone Rock Timber Co. is required for log haul upon their roads. A road use fee of $23,616.96 will be required to be paid. 12. Slash disposal and site preparation requirements consist of the following: Hand piling and burning 15 acres of slash within fifty feet (50ft) of each side of the roads in the harvest area and machine piling and covering slash and debris within fifty (50) feet of landings and other locations designated by the Authorized Officer. 13. This contract contains provisions for the sale and removal of additional timber necessary to facilitate safe and efficient Purchaser operations. It is estimated that approximately 204 MBF of such additional timber would be removed under the contract, but is not included in the advertised sale volume. Seasonal Restriction Matrix Sheet 1 of 1 Calahan Mudaxle Commercial Thinning OR10-TS10-16 Seasonal Restrictions are Black-Stippled. Sale Unit Activity 1 Ground-based yarding 1, 2 1 Road construction, right-of-way logging and clearing2 1 Cable yarding on unsurfaced roads 1, 2 1 Loading or hauling on unsurfaced roads 2 1 Falling, bucking and yarding1 1 1 1 Jan 15 1 Feb 15 Mar 1 15 Apr 1 15 May 1 16 June 1 15 July 1 16 1 Aug 6 15 Sept 1 16 1 Oct 15 Nov 1 15 1 Dec 15 All Operations within ¼ mi. of Goshawk nesting area3 All Operations, except hauling, within 65 yds. of suitable Northern Spotted Owl habitat4 1 Bark slip seasonal restriction from April 15 to July 15 may be conditionally waived. 2 Wet season restrictions from October 15 to May 15 may be shortened or extended depending on soil moisture and weather conditions. 3 No operations within the ¼ mi. Goshawk Seasonal Restriction Area in Harvest Area 1 as shown on Exhibit E between March 1 and August 30 of each calendar year both days inclusive. The purchaser shall notify the Authorized Officer in writing by February 1, each calendar year in which operations are expected to take place within the ¼ mi. Goshawk Seasonal Restriction Area between March 1 and August 30, both days inclusive. 4 No operations except hauling shall be conducted within the 65 yard Northern Spotted Owl Seasonal Restriction Area in Harvest Area 1 as shown on Exhibit E between March 1 and July 15, 2012, both days inclusive. The purchaser shall notify the Authorized Officer in writing by February 1, 2012 and each year thereafter in which operations are expected to take place within the 65 yard Northern Spotted Owl Seasonal Restriction Area between March 1 and July 15, both days inclusive. Notice to Bidders On December 17, 2009, the District Court for the District of Western Washington issued an Order in the lawsuit over the 2007 Records of Decision (RODs) to remove the Survey and Manage Mitigation Measure Standards and Guidelines within the Range of the Northern Spotted Owl. In the Order the Court made its ruling related to National Environmental Policy Act (NEPA) claims, finding multiple inadequacies in the 2007 Final Supplement to the 2004 Supplemental Environmental Impact Statement (2007 Final Supplement) on which the 2007 RODs are based. The Court acknowledged that there remain substantive issues beyond the NEPA claims before the court for which resolution is likely to affect the appropriate remedy. The Court declined to address remedy at the time of issuing the Order and requested parties confer about appropriate case management in light of the Order and submit briefing schedules. There is still ongoing litigation related to the 2007 RODs and remedy is yet to be determined. The BLM will proceed to offer for bid Tract No. 10-16, Calahan Mudaxle Commercial Thinning. Although it is not known at this time what the remedy associated with the December 2009 Order will be, this notice is given to advise all bidders that significant delays may occur before award of the sale or before any operations may be undertaken on this tract, and it is possible the sale may never be awarded. Operations may also be suspended after on-site activity has begun. To ensure that this notice is understood, the high bidder for this tract will be required to acknowledge receipt of a copy of this notice. ACKNOWLEDGEMENT ------------------------------------------------------------------------------------------------------I acknowledge receipt of a copy of this notice and understand that because of the December 2009 Order, any decision to award Tract No. 10-16, Calahan Mudaxle Commercial Thinning, may be significantly delayed, or operations suspended, and that the United States has authority under 43 CFR § 5442.3 to reject all bids if this is found to be in the interest of the Government. Company Name By: Signature Title: Date: Roseburg Sale No. 10-16 Calahan Mudaxle Commercial Thinning Form 5430-1 (May 1965) UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT (formerly 4-1560) SELF CERTIFICATION CLAUSE BIDDERS STATEMENT The bidder represents that he □ is □ is not a small business concern as defined by Title 13, Chapter 1, Part 121 of the Code of Federal Regulations, as amended. (Date) (Signature of Bidder) Title 18 USC, sec. 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction INSTRUCTIONS In order to qualify for a set-aside sale, all bidders must certify The Self Certification Clause will be immediately returned, with to being a small business concern by submitting an executed the deposit, to the unsuccessful bidders but may be re-submitted Self Certification Clause. to qualify for other set-aside sales offered on the same date. The date on the Self Certification Clause and the sale date must be the same. The Self Certification Clause submitted by the successful bidder will be retained by the Bureau of Land Management. A Self Certification Clause must accompany the deposit to qualify for each set-aside sale. After a sale award is made, GPO 850-444 GPO 905716 SBA SET-ASIDE SALE Sale Date: August 24, 2010 (2) Roseburg Sale No. 10-15 Douglas County, Oregon: O&C: Oral Auction Sale Name: Milk Shake Commercial Thinning Bid Deposit Required: $5,700.00 All timber designated for cutting on: S½SE¼ Approx. Number Merch. Trees 3,722 130 46 29 10 6 3,943 Sec. 33, Est. Vol. MBF 32' Log 516 5 5 5 2 1 534 Est Vol. C Cu. Ft. 1,150 12 11 12 4 2 1,191 Species Douglas-fir Ponderosa Pine Western Hemlock Grand Fir Incense-cedar W. Red-cedar T. 23 S., Est. Vol. MBF 16' Log 622 6 6 6 2 1 643 R. 4 W., Appraised Price Per MBF $88.80 $24.20 * $38.10 $42.60 $231.80 $231.80 Willamette Meridian Est. Volume Times Appraised Price $55,233.60 $145.20 $228.60 $255.60 $463.60 $231.80 $56,558.40 * BLM appraised price per MBF is a minimum stumpage value. THIS IS A TIMBER SALE SET-ASIDE FOR PREFERENTIAL BIDDING BY SMALL BUSINESS CONCERNS HAVING 500 OR FEWER EMPLOYEES AS DEFINED BY THE SMALL BUSINESS ADMINISTRATION. CRUISE INFORMATION The timber volume estimates were based on 100% cruise using form class tables for estimating board foot volume of trees in 16-foot logs. With respect to merchantable trees of all species: the average tree is 13.2 D.B.H.O.B., the average log contains 44 bd. ft., the total gross volume is approximately 678 M bd. ft., and 95% recovery is expected. CUTTING AREA: An area of approximately 37 acres in 1 unit is to be thinned and approximately 1 acre of rightof-way is to be clearcut. TIMBER ACREAGE: Area 1: 37 acres R/W: 1 acres ACCESS: Access to the sale area is provided by Government, County, and Privately controlled roads. DIRECTIONS TO SALE AREA: To reach the sale area in Section 33, T. 23 S., R. 4 W., W.M., go north from Roseburg on Interstate-5 to Exit 154. Exit Interstate-5 and proceed southeast on County Road 7 approximately 5.5 miles and turn left on County Road 8. Proceed approximately 0.2 mile and turn right on County Road 69. Proceed south approximately 1.25 miles to the end of County Road 69 and follow the Exhibit D map to the sale area. ROAD MAINTENANCE: Maintenance and rockwear fees of $1,781.46 will be required to be paid to the BLM. Maintenance and rockwear fees of $299.62 will be required to be paid to Juniper Properties. ROAD CONSTRUCTION: Estimates include the following: construct 8+70 stations, renovate 88+40 stations, and decommission 21+40 stations of road. Additional information is available in Exhibit C of the Timber Sale Contract. DURATION OF CONTRACT will be 24 months for cutting and removal of timber. The contract will contain SPECIAL PROVISIONS regarding: logging; environmental protection; road construction, maintenance and use; fire prevention and control; slash disposal and site preparation; log exports; and non-segregated facilities. Log scaling may be required under the terms of this contract. NOTES: 1. A revised Special Provision has been added to the contract which enables the Contracting Officer to suspend the contract to facilitate protection of certain plant or animal species, and /or to modify or terminate the contract when necessary to: (1) Comply with the Endangered Species Act, or; (2) Comply with a court order, or; (3) Protect species which were identified for protection through survey and manage and/or protection buffer standards and guidelines established in the ROD and RMP. This contract provision limits the liability of the Government to the actual costs incurred by the Purchaser which have not been amortized by timber removed from the contract area. 2. Yarding of log lengths greater than forty-two (42) feet will not be permitted. 3. Directional falling away from or parallel to property lines, unit boundaries, roads, retention trees and snags will be required. Directional falling away from or parallel to reserve areas and riparian buffers will be required for all trees cut within 100 feet of these areas. 4. In the cable yarding areas, a skyline logging system with lateral yarding and multi-span capability will be required. One-end suspension of logs will be required. Cable yarding will not be permitted in or through reserve areas or riparian buffers. 5. A harvester/forwarder system, tractor, rubber-tired skidder, or track-mounted log loader may be used in the areas designated for ground-based yarding. Ground-based yarding is generally permitted between May 15 and October 15, both days inclusive. Minor and incidental ground-based yarding may be permitted in limited portions of the cable yarding areas; ground-based yarding seasonal restrictions apply, and the locations involved and equipment used must be approved by the Authorized Officer. 6. Unsurfaced roads used for more than a single season or which must over-winter prior to decommissioning will be winterized in accordance with Exhibit C. 7. All equipment used in road construction and/or yarding operations will be cleaned and inspected for noxious weed or non-native seed prior to initial move-in on BLM lands. 8. A license agreement with Juniper Properties is required for renovation and log haul upon their roads. 9. Slash disposal and site preparation requirements consist of the following: piling and covering slash and debris within fifty (50) foot radius of landings and other locations designated by the Authorized Officer. 10. This contract contains provisions for the sale and removal of additional timber necessary to facilitate safe and efficient Purchaser operations. It is estimated that approximately 32 MBF of such additional timber would be removed under the contract, but is not included in the advertised sale volume. 11. Spurs 1 and 2, Roads 24-4-4.3 and 24-4-4.4 may be rocked at Purchaser expense in order to extend the logging operations season and then must be blocked and water barred when harvest is complete. Existing rocked roads will need additional rock placed in order to bring the road up to winter standards at the purchaser’s expense. 12. Seasonal restrictions on operations apply (see attached Seasonal Restriction Matrix and Exhibit E). Surveys for the Northern Spotted Owl have been conducted and the sale area is currently unoccupied in harvest area 1. The 65-yard seasonal restriction is lifted until March 1, 2012 but will be re-applied after that date. Seasonal Restriction Matrix Sheet 1 of 1 Milk Shake Commercial Thinning OR10-TS10-15 Seasonal Restrictions are Black-Stippled. Sale Unit 1 1 1 1 Activity 1 Jan 15 1 Feb 15 Mar 1 15 Apr 1 15 May 1 16 June 1 15 July 1 16 1 Sept 1 16 1 Oct 15 Nov 1 15 1 Dec 15 Ground-based yarding 1, 2 Road construction, right-of-way logging and clearing2 Cable yarding on unsurfaced roads and road 244-3.71, 2 Loading or hauling on unsurfaced roads and roads 24-4-3, 24-4-3.4, 24-4-3.5, 24-4-3.72 1 Falling, bucking and yarding1 1 All Operations, except hauling, within 65 yds. of suitable Northern Spotted Owl habitat3 1 Bark slip seasonal restriction from April 15 to July 15 may be conditionally waived. 2 Wet season restrictions from October 15 to May 15 may be shortened or extended depending on soil moisture and weather conditions. 3 Aug 6 15 No operations except hauling shall be conducted within the 65 yard Northern Spotted Owl Seasonal Restriction Area in Harvest Area 1 as shown on Exhibit E between March 1 and July 15, 2012, both days inclusive. The purchaser shall notify the Authorized Officer in writing by February 1, 2012 and each year thereafter in which operations are expected to take place within the 65 yard Nothern Spotted Owl Seasonal Restriction Area between March 1 and July 15, both days inclusive. Notice to Bidders On December 17, 2009, the District Court for the District of Western Washington issued an Order in the lawsuit over the 2007 Records of Decision (RODs) to remove the Survey and Manage Mitigation Measure Standards and Guidelines within the Range of the Northern Spotted Owl. In the Order the Court made its ruling related to National Environmental Policy Act (NEPA) claims, finding multiple inadequacies in the 2007 Final Supplement to the 2004 Supplemental Environmental Impact Statement (2007 Final Supplement) on which the 2007 RODs are based. The Court acknowledged that there remain substantive issues beyond the NEPA claims before the court for which resolution is likely to affect the appropriate remedy. The Court declined to address remedy at the time of issuing the Order and requested parties confer about appropriate case management in light of the Order and submit briefing schedules. There is still ongoing litigation related to the 2007 RODs and remedy is yet to be determined. The BLM will proceed to offer for bid Tract No. 10-15, Milk Shake Commercial Thinning. Although it is not known at this time what the remedy associated with the December 2009 Order will be, this notice is given to advise all bidders that significant delays may occur before award of the sale or before any operations may be undertaken on this tract, and it is possible the sale may never be awarded. Operations may also be suspended after on-site activity has begun. To ensure that this notice is understood, the high bidder for this tract will be required to acknowledge receipt of a copy of this notice. ACKNOWLEDGEMENT ------------------------------------------------------------------------------------------------------I acknowledge receipt of a copy of this notice and understand that because of the December 2009 Order, any decision to award Tract No. 10-15, Milk Shake Commercial Thinning, may be significantly delayed, or operations suspended, and that the United States has authority under 43 CFR § 5442.3 to reject all bids if this is found to be in the interest of the Government. Company Name By: Signature Title: Date: Form 1140-4 (June 1974) UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT NOTICE OF REQUIREMENT FOR CERTIFICATION OF NONSEGREGATED FACILITIES Bidders and offerors are cautioned as follows: by signing this bid or offer or entering into this contract or lease, as the case may be, the bidder, offeror, or contractor will be deemed to have signed and agreed to the provisions of the Certification of Nonsegregated Facilities in this solicitation. The certification provides that the bidder or offeror does not maintain or provide for his employees facilities which are segregated on a basis of race, color, religion, sex, or national origin, whether such facilities are segregated by directive or on a de facto basis. The certification also provides that he will not maintain such segregated facilities. Failure of a bidder or offeror to agree to the Certification of Nonsegregated Facilities will render his bid or offer nonresponsive to the terms of solicitations involving awards of contract exceeding $10,000 which are not exempt from the provisions of the Equal Opportunity clause. In accordance with 41 CFR 60, as amended May 19, 1967, and Executive Order No. 11246 of September 24, 1965, as amended, this notification will be included in all notices of invitations for bid, lease, offers, and requests for proposal where prospective nonexempt contracts may exceed $10,000. U.S. Government Printing Office: 1974-781-617-360 Reg. 8 Roseburg Sale No. 10-15 Milk Shake Commercial Thinning Form 5430-1 (May 1965) UNITED STATES DEPARTMENT OF THE INTERIOR BUREAU OF LAND MANAGEMENT (formerly 4-1560) SELF CERTIFICATION CLAUSE BIDDERS STATEMENT The bidder represents that he □ is □ is not a small business concern as defined by Title 13, Chapter 1, Part 121 of the Code of Federal Regulations, as amended. (Date) (Signature of Bidder) Title 18 USC, sec. 1001, makes it a crime for any person knowingly and willfully to make to any department or agency of the United States any false, fictitious or fraudulent statements or representations as to any matter within its jurisdiction INSTRUCTIONS In order to qualify for a set-aside sale, all bidders must certify The Self Certification Clause will be immediately returned, with to being a small business concern by submitting an executed the deposit, to the unsuccessful bidders but may be re-submitted Self Certification Clause. to qualify for other set-aside sales offered on the same date. The date on the Self Certification Clause and the sale date must be the same. The Self Certification Clause submitted by the successful bidder will be retained by the Bureau of Land Management. A Self Certification Clause must accompany the deposit to qualify for each set-aside sale. After a sale award is made, GPO 850-444 GPO 905716
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