.07 Certified Pesticide Applicator Licensing Form Greene County.pdf

This is a Certified Pesticide Applicator Licensing Form for Tree Trimming and Stump Removal Services related to a Pennsylvania Department of Transportation (PennDOT) contract opportunity in Greene County. The form requires bidders to document all certified pesticide applicators who will be employed on the project, including their full names as they appear on their licenses, license numbers, applicable categories, and expiration dates. The form accommodates up to fifteen applicators and must be completed and uploaded as part of the bid response to be considered responsive. Bidders must ensure that the applicator license is endorsed by the contractor's business license number. The underlying contract covers tree trimming and stump removal services across all State Routes, PennDOT facilities, and other areas within Greene County where PennDOT has responsibility, with waste materials such as chips, mulch, leaves, and branches to be hauled away and disposed of unless fly chipping is specifically instructed.

This procurement is designated as a Small Business Procurement, and only DGS certified small businesses are eligible to submit bids and receive awards. All bidders must submit their bids electronically through the Commonwealth's electronic bidding system (SRM) via the PA Supplier Portal at www.pasupplierportal.state.pa.us. Bidders experiencing technical difficulties may contact the Supplier Service Center at (877) 435-7363 and select option #1. The failure to complete and upload the Certified Pesticide Applicator Licensing Form may result in the bid being deemed non-responsive.