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STATE OF MAINE
STATE AGENCY FOR FEDERAL SURPLUS PROPERTY
85 Leighton Road
95 State House Station
Augusta, ME 04333-0095
Tel: (207) 287-2923
Fax: (207)287-3640

To those interested in the State Agency for Surplus Property:

The State Agency for Surplus Property in the Department of Administrative and Financial Services is responsible for the distribution and allocation of all surplus property. Surplus is federal personal property that is owned by the federal government and donated to various states through GSA (General Services Administration). The State Agency for Surplus Property acts as a clearinghouse to obtain donable property from all possible sources. Donable property is then allocated to all eligible donees through the systematic review of requests and the assessment of each donee's level of need. The purpose of allocation is to achieve a fair and equitable distribution of surplus property to all eligible donees throughout the State.

Eligible donees include the following:

  1. Public agencies, including public schools.
  2. Nonprofit, tax-exempt organizations.

To be considered eligible, each donee must meet the requirements established by federal regulations. Each donee that is approved by the Manager will be eligible for all types of federal surplus property.

Eligible donees can obtain property by having the chief administrator, town manager, executive director, etc., complete the Application for Eligibility, Debarment and Assurance documents. Requests will be reviewed periodically as property becomes available. Allocations will be made on a routine basis to donees with the greatest need for a particular item and those with the earliest request. Property can also be obtained by screening at the agency's warehouse facilities. Screening includes looking at property, claiming it for a donee, and taking it back to the organization, town, etc.

If you would like to participate in this program and you think you are eligible, please complete the four forms attached to this letter.

REQUEST

If your application for eligibility is approved and you wish to request items such as trucks, loaders, generators or any other heavy equipment, please submit your request to the above address.

Do not list items such as desks, chairs, typewriters, etc., as they are readily available through our warehouse.







STATE OF MAINE
DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES
DIVISION OF PURCHASES STATE AGENCY FOR FEDERAL SURPLUS PROPERTY

APPLICATION FOR ELIGIBILITY

This is a fillable form and may be printed with the required information. Once completed, the Application for Eligibility must be mailed or faxed due to the requirement of signatures and additional documentation relative to the application process.



* This signature serves as the "authorized official" signature for the Authorized Representatives, Certificate Regarding Debarment and Suspension, and the Non-Discrimination Assurance.

Check the line which describes the primary nature of your agency, organization, or political subdivision (public or a non-profit business):

including state, counties, cities/towns (provide information requested in Paragraphs II, III, VII and VIII below) and public schools (provide information requested in Paragraphs II, VI, VII and VIII below).

education, health or homeless institution or other tax-exempt organization (provide information requested in Paragraphs II, IV, V, VI, VII and VIII below).

from the menu below which best describes the purpose of the organization: If the purpose of your organization is not listed, it likely does not qualify. Please do not create a new category.



 

STATE OF MAINE
DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES
DIVISION OF PURCHASES STATE AGENCY FOR FEDERAL SURPLUS PROPERTY

III. Provide a written description of the applicant's Public Agency program activities and/or a list of departments or programs (i.e., parks, community development, police). (Required of all Public Agencies)

IV. Provide a written description of the applicant's Nonprofit activities including the specific educational, public health or other programs and facilities operated by the applicant. (Required of all Nonprofits)

V. Provide a copy of authorization that the applicant has been determined to be nonprofit and tax-exempt under section 501 of the Internal Revenue Code of 1954.

VI. Provide a copy of documentary evidence that it and/or its programs are certified, approved, accredited or licensed, when a requirement of one or more of the applicant's programs. (Must provide a current copy of approval, accreditation or license)

VII. Complete and forward the attached GSA Nondiscrimination Assurance Form as required by law.

VIII. Complete and forward the attached GSA Debarment Form.

All surplus government property requested and accepted by the applicant will be usable in its programs within the State of Maine and required for its own use to fill an existing need, and will not be acquired for any other use, purpose or resale.
























 

 

 

 

 

AUTHORIZED REPRESENTATIVES

I. The Following Representatives Are Designated To:

  1. Represent Donee Organization as its authorized agent; and
  2. Acquire state and federal surplus property on behalf of the Donee Organization; and
  3. Obligate necessary Donee Organization funds for this purpose; and
  4. Execute state sales and federal Distribution Documents binding the Donee Organization to the terms, conditions, reservations, and restrictions applying to property obtained through the agency.
II.   Add a new or an additional designee

III.  Representatives

IV. Certification







 

 

 

 

NONDISCRIMINATION ASSURANCE

LEGAL NAME & MAILING ADDRESS OF APPLICANT ORGANIZATION:

The donee, agrees that the program for or in connection with which any property is donated to the donee will be conducted in compliance with, and the donee will comply with and will require any other person (any legal entity) who through contractual or other arrangements with the donee is authorized to provide services or benefits under said program to comply with all requirements imposed by or pursuant to the regulations of the General Services Administration (41 C.F.R. 101-6.2 and 101-8) issued under the provisions of Title VI of the Civil Rights Act of 1964, as amended, section 606 of Title VI of the Federal Property and Administrative Services Act of 1949, as amended, section 504 of the Rehabilitation Act of 1973, as amended, Title IX of the Education Amendments of 1972, as amended, section 303 of the Age Discrimination Act of 1975, and the Civil Rights Restoration Act of 1987, to the end that no person in the United States shall on the ground of race, color, national origin, sex, or age, or that no otherwise qualified handicapped person shall solely by reason of the handicap, be excluded from participation in, be denied benefits of, or be subjected to discrimination under any program or activity for which the donee received federal assistance from the General Services Administration; and hereby gives assurance that it will immediately take any measures necessary to effectuate this agreement.

The donee further agrees
  1. that this agreement shall be subject in all respects to the provisions of said federal statutes and regulations,
  2. that this agreement obligates the donee for the period during which it retains ownership or possession of the property,
  3. that the United States shall have the right to seek judicial enforcement of this agreement, and
  4. that this agreement shall be binding upon any successor in interest of the donee and the word "donee" as used herein includes any such successor in interest.











 

 

 

 

STATE OF MAINE
SURPLUS PROPERTY PROGRAM
95 STATE HOUSE STATION
AUGUSTA, MAINE 04333-0095
PHONE (207) 287-2923, FAX (207) 287-3640

This certification is required by GSA regulations implementing Executive Order 12549, Debarment and Suspension, for prospective participants in primary covered transactions, as defined at 41 CFR 105-68.110. Certification Regarding Debarment, Suspension, and

Other Responsibility Matters - Primary Covered Transactions

(1) The prospective primary participant certifies to the best of its knowledge and belief, that it and its principals:

(a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any federal department or agency;

(b) Have not within a 3-year period preceding this proposal been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, or local) transaction or contract under a public transaction; violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

(c) Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification; and

(d) Have not within a 3-year period preceding this application/proposal had one or more public transactions (federal, state, or local) terminated for cause or default.

(2) Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal.

Name of Donee and Full Address