PA Certified Pesticide Applicator Licensing Form.pdf

This is a Certified Pesticide Applicator Licensing Form attachment for a herbicide spraying service contract with PennDOT District 3 in Pennsylvania. The contract covers herbicide spraying services across nine counties: Bradford, Columbia, Lycoming, Montour, Northumberland, Snyder, Sullivan, Tioga, and Union. All bidders must submit proposals electronically through the Pennsylvania Supplier Portal (www.pasupplierportal.state.pa.us), with questions directed to Sandra Duke at sanduke@pa.gov prior to Friday, March 6, 2026, at 10:00 AM Eastern Standard Time. Bids will be publicly opened and read virtually via Microsoft Teams; interested bidders should contact Sandra Duke for the meeting invite. The initial contract term is one year, with the potential for mutual renewal for up to four additional one-year terms. All line items must be bid or the bid will be deemed void.

The attachment requires bidders to complete a licensing form providing the company name, applicator's full name as it appears on the license, license number, applicable categories, and license expiration date. This documentation is mandatory and must be submitted with the bid. No mailed bids will be accepted; bidders experiencing technical difficulties with the electronic submission system should contact the Supplier Service Center at (877) 435-7363, option 1.