current prior experience with pesticide.pdf

This document is an experience verification form issued by the State of Missouri for a Forest Stand Improvement Services contract at Atlanta Conservation Area in Macon County, MO. The form requires vendors and subcontractors to document their current and prior experience relevant to the services required for this project. Vendors must complete sections detailing the company or client they previously served, including the client's address, contact person information, dates of service, service termination reasons if applicable, and dollar value of services performed. The form emphasizes that if the listed contact person for verification cannot be reached, the documented experience may not be considered in the vendor's evaluation.

A critical requirement for this contract is that the contractor must possess a valid State of Missouri commercial pesticide applicator's license before applying any chemical on Department property. The form includes a specific field for the vendor to provide their Missouri Commercial Pesticide Applicator's License Number, and vendors are required to provide documentation of compliance with this licensing requirement upon request by the Department. This experience verification form serves as the mechanism through which contractors demonstrate their qualifications and compliance with state licensing requirements for pesticide application services on the approximately 95-acre project consisting of four timber stands.