Attachment 3 Contractors Pesticide License Information.pdf
PDF 112 KB Posted
- Attached to
- Tillamook ODF Hack and Squirt
- Solicitation number
- S-62900-00010853
- Issued by
- Tillamook County, Oregon
About this file
This document is the Attachment 3 Contractors Pesticide License Information related to the Tillamook ODF Hack and Squirt contract opportunity issued by the state of Oregon. The contract requires the contractor to provide "Hack and Squirt Service" in Tillamook County. The contractor must list the employees and their corresponding pesticide license information on this form, which the contractor must sign and submit.
The contract opportunity does not provide any additional details on pricing terms, set asides, funding sources, or other salient information. The document solely focuses on the pesticide license requirements for the contractor's employees performing the hack and squirt services in Tillamook County, Oregon.
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Text version
S-62900-00010853 – Tillamook ODF Hack and Squirt
ATTACHMENT 3
CONTRACTOR’S PESTICIDE LICENSE INFORMATION
Contractor’s Pesticide License Information: Complete this form.
SIGNATURE ______________________________________ DATE___________________
NAME (Please type or print) __________________________________________________
TELEPHONE NO. ( _ ) TITLE _________________________________
Contractor’s Pesticide License Information
Contractor's Commercial Operator License No.:
Commercial Pesticide Applicator Apprentice Exp.
Employee Name License No. License No. Date
1.
2.
3.
4.
5.
6.
7.
I certify that the employees, as listed above, possess a valid license of the type stated above.
Signature:
Title:
Company Name:
Date:
Contractor’s Pesticide License Information: Complete this form.
File details come from the government source that posted it. Updated .