.07 Certified Pesticide Applicator Licensing Form Washington County.pdf

This is a Certified Pesticide Applicator Licensing Form for tree trimming and stump removal services issued by PennDOT District 12 in Washington County, Pennsylvania. The form is a mandatory submission requirement for all bidders responding to the Invitation for Bid (IFB) for tree trimming and stump removal services within Washington County. The services cover all State Routes, PennDOT facilities, and other areas where PennDOT has responsibility or requirements to perform such work. Bidders must complete and upload the form as part of their bid response; failure to do so will result in the bid being deemed non-responsive. The form requires documentation of all certified pesticide applicators employed by the bidding company, including their full names as they appear on licenses, license numbers, pesticide application categories, and license expiration dates. The form accommodates up to fifteen certified applicators and must be endorsed by the contractor's business license number.

The contract is designated as a Small Business Procurement under PennDOT's Small Business Procurement Initiative (SBPI) established through Executive Order 2011-09, meaning only DGS-certified small businesses are eligible to submit bids and receive awards. All bids must be submitted electronically through the Commonwealth's SRM system via the PA Supplier Portal at www.pasupplierportal.state.pa.us. Waste composition from tree trimming and stump removal, including chips, mulch, leaves, and branches, will be hauled away and disposed of; fly chipping may be required and will be specified when contractors are notified of specific projects. Bidders experiencing technical difficulties with the electronic bidding system should contact the Supplier Service Center at (877) 435-7363, option #1.