.07 Certified Pesticide Applicator Licensing Form Fayette County.pdf

This is a Certified Pesticide Applicator Licensing Form for the Tree Trimming and Stump Removal Services contract opportunity in Fayette County, Pennsylvania, administered by PennDOT (Pennsylvania Department of Transportation). The form is a required submission component for bidders responding to the Invitation for Bid (IFB) and must be completed and uploaded to be deemed responsive. The form requires contractors to list all certified pesticide applicators associated with their company, including each applicator's full name as it appears on their license, license number, pesticide application categories, and license expiration date. The form accommodates up to 15 applicators and must be endorsed by the business license number of the contractor completing the bid. Failure to complete and submit this form may result in bid disqualification.

This contract covers tree trimming and stump removal services across all State Routes, PennDOT facilities, and other areas within Fayette County where PennDOT has responsibility. The contract is designated as a Small Business Procurement under PennDOT's Small Business Procurement Initiative (SBPI) set forth in Executive Order 2011-09, making it exclusively available to DGS-certified small businesses. All bids must be submitted electronically through the Commonwealth's electronic system (SRM) via the PA Supplier Portal at www.pasupplierportal.state.pa.us. Waste materials including chips, mulch, leaves, and branches will be hauled away and disposed of, with fly chipping available upon instruction when required for specific projects.