FSA-2155 Vendor Appraiser Registration

See Page 3 for Privacy Act and Public Burden Statements.
This form is available electronically.

Position 8
Form Approved - OMB Control No. 0560-0238
1. Return Completed form to:

U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency

FSA-2155
(10-16-18)

VENDOR APPRAISER INFORMATION
PART A – APPRAISER INFORMATION
2. Enter Name (Last, First, Middle Initial)

3. Business Name

4. Mailing Address (Include City, State and Zip Code)

5. Business Mailing Address (Include City, State and Zip Code)

6. Physical Address (Include City, State and Zip Code)

7. Business Physical Address (Include City, State and Zip Code)

8. Cell Phone Number (Include Area Code)

9. Business Phone Number (Include Area Code)

10. Fax Number (Include Area Code)

11. Email Address (Check applicable option):

12. Resume Attached

YES

NO

Work:
Personal:
13. Appraisal Type

Real Estate

Chattel

Both

14. DUNS Number

PART B – APPRAISAL SERVICES AND SERVICE AREA
15. Expert Witness/Testimony (See Statement of Work (SOW), subparagraph 5.4):
A. Hourly Rate for Preparation

B. Hourly Rate for Testimony

16. Specialty Property (Check all that apply):
Timber

Dairy

Poultry

Swine/Hog

Nursery

Feedlots

Orchard

Vineyard

Technical Reviews

Other (Comments):
17. Designations (Check all that apply):

ARA

RPRA

MAI

SRA

IFAA

IFAS

Other:
18. Counties Appraisal Services are Provided:
List counties:

All Counties

See Attached for
Additional comments

PART C – LICENSE INFORMATION (Include a copy of any license with this information form)
19. License Type (Check applicable box):
State Certified General

Certified Residential

State Licensed Residential

See Attached for
Additional comments

N/A

Other:
20.

License Number:

21.

License Attached

YES

NO

PART D – APPRAISER CERTIFICATION
I acknowledge that I have: (1) received, read and understand the Statement of Work (SOW) for each appraisal type, (2) read the FSA Appraisal Procurement
Procedures described by this information form, (3) completed and returned the required certifications and (4) I am willing to be registered or in the process of
registering in the System for Award Management (SAM). I understand that to receive an appraisal request from FSA I must be registered in SAM. I am willing
to provide appraisals to FSA according to the SOW, current USPAP requirements, and engagement letter, on any required forms described by the SOW or the
appraisal order.
22. Appraiser’s Signature

23. Title of Appraiser

24. Date Signed
(MM-DD-YYYY)

25. Additional Comments:

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its Agencies, offices, and employees, and institutions participating in or administering USDA
programs are prohibited from discriminating based on race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, family/parental status, income
derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and
complaint filing deadlines vary by program or incident.
Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET
Center at (202) 720-2600 (voice and TTY) or contact USDA through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English.
To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter
addressed to USDA and provide in the letter all of the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to USDA by: (1) mail: U.S. Department
of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: [email protected]. USDA is an equal opportunity
provider, employer, and lender.

FSA-2155 (10-16-18)

Page 2 of 3

PART E – APPRAISAL SERVICES INFORMATION (Continued on Page 3)

FSA Procurement of Appraisal Services Information
Procurement of Services Description:
The Farm Service Agency (FSA), an agency of the U. S. Department of Agriculture, makes and services loans secured by real estate and
chattel. FSA needs appraisal reports to complete various loan making and loan servicing responsibilities. Appraisal services and
requirements are further described by a Statement of Work (SOW) that is provided by the agency for each type of appraisal. Farm and
commercial appraisals can only be completed by State Certified General appraisers however; State Certified Residential and/or Licensed
Appraisers can complete non-farm or non-commercial properties with FSA consent and if within the scope of their State license.
Personal property appraisals may be completed by individuals with chattel appraisal experience and are licensed in the State, if required
by the State.
Appraisal Procurement Procedures:
FSA utilizes a micro-purchase/Purchase Order process for procuring appraisal services with vendors. FSA maintains a list of appraisers
that meet our minimal requirements and demonstrate the ability to deliver appraisal reports that meet FSA SOW requirements and follow
appraisal practices that are acceptable for rural appraising. In order to be added to the FSA information list the individual must:

1.
2.
3.

Complete and sign the Vendor Appraiser Information form.
Review, sign, and understand the SOW for each appraisal type.
For real estate appraisals, demonstrate with one appraisal that you are able to deliver an appraisal report that meets FSA SOW
and USPAP requirements and the report is delivered by the due date.

A vendor will be maintained on the FSA appraiser log as long as the individual:
1. Maintains a current license with the State for the license requirement for FSA appraisals.
2. Deliver 90 percent of all appraisal reports by the delivery date as described by the FSA Appraisal Order form or engagement
letter unless an extension is provided by FSA in writing.

3.
4.

Attend FSA Vendor Appraiser meetings when requested by FSA.
Sign a completed Vendor Appraiser Information form and SOW(s) when requested by FSA.

5.

Appraisal reports continue to meet FSA and SOW requirements and USPAP, if applicable.

Solicitation Procedure:
-

Requirements
All vendors are expected to maintain an email account and have a Portable Document Format (PDF) software. The PDF
format must be able to be read by common public PDF reader, typically Acrobat Adobe Reader.

-

Process


Notification Notification will utilize electronic notification process, electronic mail (email), for requesting appraisal services. If FSA
solicits a bid over $2,500, then FSA will attempt to solicit bids from at least three vendors. FSA will transmit an appraisal
solicitation that will describe the location, property description and will include the appraisal request form, work order,
engagement letter and legal description, if applicable.
Typically, a vendor will receive notification of FSA appraisal solicitations based on the counties they have selected on the
information form that they are willing to provide appraisal services in. FSA reserves the right to limit notification of
solicitations based on performance, experience and location.



Bid Response When FSA issues a work order form by email, the request for a bid response will be due within 2 business days, unless
otherwise stated in the solicitation. All bids must be received by the date and time requested. All bids should be sent by
email and should provide the bid amount, the name of the property and the delivery date of the appraisal report.



Award The award of the appraisal service is based on many factors that include cost, delivery date, vendor’s knowledge and skill
of the type of property to be appraised, complexity of the assignment and other factors. Lowest bidder will not always
receive the appraisal assignment.
Award of appraisal assignment will occur in writing by FSA issuing an engagement letter or similar format or a purchase
order.

FSA-2155 (10-16-18)

Page 3 of 3

PART E – APPRAISAL SERVICES INFORMATION

Solicitation Procedure (Continued):
Payment
The vendor must provide an invoice with the appraisal report that:
1.
2.
3.
4.
5.
6.

Provides the vendor’s name, invoice number and mailing address.
Name of applicant or borrower and property owner, if appropriate.
County/borough/parish and city name of property location.
Amount of payment.
Date services were provided.
DUNS or SAMS Number.
Vendor must be registered in SAMS. Typically, FSA will process the invoice within 10 business days from the date of
receipt of an acceptable appraisal report. Actual receipt of payment should occur within 30 days from the date FSA accepts
the appraisal report. Payment will be by Electronic Funds Transfer (EFT).

Vendor Educational & Qualification Requirements:
In order for a vendor to receive appraisal assignments, the vendor’s experience, education and location of the subject property will be
considered. Appraisal assignments that involve real estate, the vendor:
•
•

Must be a State Certified General Appraiser for the State the subject is located, or obtain a temporary permit. State or
Residential licensed appraisers may only appraise residential properties within the license scope and as allowed by FSA
regulations.
Are expected to understand and follow acceptable appraisal techniques and principles for appraising property as described.

Chattel appraisers should have experience, be registered with industry recognized professional organization and licensed with the State if
required.
Notification Requirement of Individual Providing Assistance/Approval:
If the vendor will have an associate or assistant appraiser who is registered with the State providing assistance with the development of
the appraisal assignment, or will visit the subject property, the vendor must notify the APOC in writing to receive prior approval. Please
review SOW for more information.
Personal Identity Verification of Vendor and Personnel:
The Government may request the vendor to complete a background investigation of the vendor and/or their employees. Upon request by
the Government the vendor will provide the required documents necessary to complete a background investigation within the timeframes
identified.
Vendor Performance Review:
All appraisals will be subject to an acceptable administrative appraisal review before payment. Additionally, real estate appraisals may
have a technical field or desk review and are completed at FSA’s discretion.
Electronic Payment Requirement:
The USDA procurement procedures now require that ALL vendors are to be paid using the EFT system. The Debt Collection
Improvement Act (DCIA) of 1996 requires that federal payments of invoices for goods and services received be paid by EFT. FSA work
orders will not be awarded to vendors who have not registered under SAM. You are NOT required to obtain a DUNS number or
register in SAM until FSA notifies you that you have been added to our Appraiser log.
Evaluation Criteria:
This appraisal solicitation will be based on “Best Value”. Cost factor will be considered however, it is not expected to be the controlling
factor. The Government will evaluate offers based upon price; vendor past performance; vendor education & experience related to the
assignment; vendor must have previous experience in appraising similar properties in the same geographical area as described in the
SOW.
Every appraisal report is subject to review by the office of the Chief Appraiser, or designees, Farm Service Agency, Washington D.C.
NOTE:

The following statement is made in accordance with the Privacy Act of 1974 (5 USC 552a – as amended). The authority for requesting the information identified on this form is 7
CFR Part 761, the Consolidated Farm and Rural Development Act (7 U.S.C. 1921 et seq.), and the Agricultural Act of 2014 (Pub. L. 113-79). The information will be used to
certify acknowledgement of, and agreement to, the terms and conditions listed on the form. The information collected on this form may be disclosed to other Federal, State, Local
government agencies, Tribal agencies, and nongovernmental entities that have been authorized access to the information by statute or regulation and/or as described in
applicable Routine Uses identified in the System of Records Notice for USDA/FSA-14, Applicant/Borrower. Providing the requested information is voluntary. However, failure to
furnish the requested information will result in a determination that the prospective vendor appraiser is unable to participate in and receive benefits under an FSA Loan Program.
According to the Paperwork Reduction to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0238. The time required to complete this
information collection is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining
the data needed, and completing and reviewing the collection of information.
The provisions of criminal and civil fraud statutes may be applicable to the information provided. RETURN THIS COMPLETED FORM TO YOUR COUNTY FSA OFFICE.