Attachment 2 - PesticideAppRecord FORM .pdf
PDF 75 KB Posted
- Attached to
- Phase 3 Lake Zorinsky Tree Removal Federal contract opportunity
- Solicitation number
- W9128F22Q0101
About this file
This solicitation is for a non-personnel services contract to provide tree and vegetation removal services at Papio Creek Dam Site 18 - Lake Zorinsky. The contractor will fell all trees identified within the performance work statement between September 1st and April 1st to create a 30-foot-wide firebreak. The contractor must follow all relevant local, state and federal regulations regarding wildlife including the Bald and Golden Eagle Protection Act, Migratory Bird Treaty Act, and the Endangered Species Act. The contractor will provide all necessary personnel, equipment, supplies, transportation, tools and materials to complete the tree and vegetation removal as defined in the performance work statement and identified project maps. The contractor will visit the site prior to bidding to determine the density of trees and level of work required. The solicitation is issued by the Department of the Army Corps of Engineers Engineering District Omaha and all work must be completed within 365 calendar days of contract award.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Questions and Answers 8-19-22.docx | DOCX document | |
| W9128F22Q01010002.pdf | ||
| Attachment 3 City of Omaha Storm and Sanitary Manhole Maps.pdf | ||
| Attachment 1REVISED A4.pdf | ||
| Redacted Site Visit Sign in Sheet 17AUG2022.pdf | ||
| W9128F22Q0101-0001 Amendment.pdf | ||
| Attachment 1 - Project Maps.pdf | ||
| Attachment 1 - Project Maps.pdf | ||
| W9128F22Q0101.pdf |
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Text version
PESTICIDE APPLICATION RECORD SHEET
Corps of Engineers, Omaha District
ER 1130-2-540 FIELD OFFICE: DATE:
PREPARED BY: PHONE: ( )
Check one: ANTICIPATED USAGE REQUEST
ACTUAL USAGE REPORT
COMPLETE THIS SECTION FOR BOTH ANTICIPATED USAGE REQUEST AND FOR AN ACTUAL USAGE
REPORT
TARGET PEST:
SPECIFIC DESCRIPTION OF SITE(S):
PESTICIDE TRADE NAME:
MANUFACTURER:
EPA REGISTRATION NO:
EPA CLASS: GENERAL FORMULATION: LIQUID
RESTRICTED GRANULAR
PESTICIDE MIXTURE:
(if applicable) (i.e. 1 gallon/50 gallons water)
APPLICATION RATE:
(i.e. gals./sq.ft. or lbs./acre)
NUMBER & TIMING OF APPLICATIONS:
USE THIS SECTION FOR ACTUAL USAGE REPORT ONLY
DATE PESTICIDE WAS APPLIED: TIME:
APPLICATION EQUIPMENT &
METHOD OF APPLICATION:
APPLIED BY: Corps employee Contractor
NAME OF APPLICATOR:
ADDRESS:
(if contractor)
PHONE:
TOTAL AREA OF BUILDINGS TREATED:
TOTAL AMOUNT OF PESTICIDE USED:
FOR OUTSIDE APPLICATIONS:
WIND: Calm WIND DIRECTION:
0-10 mph TEMPERATURE:
10-20 mph HUMIDITY:
Other> SOIL: wet moist dry
CEMVR FORM 55-E, 01 Aug 00 (Revised) Previous editions of this form are obsolete
| FIELD OFFICE: |
| Date: |
| PREPARED BY: |
| Area Code: |
| Prep Phone #: |
| Anticipated Usage: Off |
| Actual Usage: Off |
| TARGET PEST: |
| TARGET PEST 1: |
| SPECIFIC DESCRIPTION OF SITES: |
| Specific Description 1: |
| PESTICIDE TRADE NAME: |
| MANUFACTURER: |
| EPA REGISTRATION NO: |
| General: Off |
| Restricted: Off |
| Liquid: Off |
| Granular: Off |
| PESTICIDE MIXTURE: |
| APPLICATION RATE: |
| NUMBER TIMING OF APPLICATIONS: |
| DATE PESTICIDE WAS APPLIED: |
| TIME: |
| METHOD OF APPLICATION: |
| Corps Employee: Off |
| Contractor: Off |
| NAME OF APPLICATOR: |
| Applicator ADDRESS: |
| Applicator Area Code: |
| Applicator Phone Number: |
| TOTAL AREA OF BUILDINGS TREATED: |
| TOTAL AMOUNT OF PESTICIDE USED: |
| Calm: Off |
| 0-10 mph: Off |
| 10-20 mph: Off |
| WIND DIRECTION: |
| TEMPERATURE: |
| HUMIDITY: |
| Other: Off |
| Soil: Off |
| Wet: Off |
| Moist: Off |
| Dry: Off |
| Reset Form: |
File details come from the government source that posted it. Updated .