current prior experience with pesticide.pdf
PDF 61 KB Posted
- Attached to
- Invasive Plant Species Removal Services
- Solicitation number
- 300000264195325
- Issued by
- Missouri
About this file
This is a Current/Prior Experience Verification form for a state and local contract opportunity with the State of Missouri for Invasive Plant Species Removal Services at Atlanta Conservation Area in Macon County. The project encompasses approximately 80 acres and requires invasive plant species removal services. Contractors must be Commercial Certified Pesticide Applicators in Missouri and provide proof of this certification upon request by the Department.
The form requires vendors and subcontractors to document their relevant current and prior experience by providing the name of the company or client served, street address, city, state, and zip code, along with contact person information including name, phone number, and email address. Vendors must specify the dates of services provided, indicate whether the service or contract has terminated and the reason for termination, and provide the dollar value of services. A detailed description of services performed is required, as well as the Missouri Commercial Pesticide Applicator's License Number. The form emphasizes that if the listed contact person for verification of services cannot be reached, the documented experience may not be considered in the evaluation process.
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Other files
| File | Type | Posted |
|---|---|---|
| MDC 0000000249SL_SUPPLIER.pdf | ||
| Atlanta CA Work Area Map - ISM.pdf |
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Text version
ATTACHMENT 1
CURRENT/PRIOR EXPERIENCE VERIFICATION
The vendor should copy and complete this form documenting the vendor and any subcontractor’s current/prior experience considered relevant to the services required herein. In addition, the vendor is advised that if the contact person listed for verification of services is unable to be reached, the listed experience may not be considered.
Vendor Name or Subcontractor Name: ____________________________________________________
Experience/Service Information Verification (Current/Prior Services Performed For:)
Name of Company/Client:
Address of Company/Client Street Address City, State, Zip
Company/Client Contact Person Information:
Name Phone number E-mail Address
Dates of Services:
If service/contract has terminated, specify reason:
Dollar Value of Services
Description of Services Performed
State of Missouri Commercial Pesticide Applicator’s License Number: ______________________
ATTACHMENT 1
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