Pesticide Certification (3).pdf
PDF 4 KB Posted
- Attached to
- Landscape Maintenance Woodford Co Rest Area
- Solicitation number
- RFB-605-2500000528-1
- Issued by
- Wayne County, Kentucky
About this file
This document is a Contractor Certification form related to pesticide management for the Kentucky Transportation Department, specifically addressing compliance with the KPDES Pesticide General Permit (KYG99). The certification requires contractors performing work involving pesticide applications to acknowledge and adhere to the Pesticide Discharge Management Plan (PDMP), with services specifically covering herbicide, insecticide, and fertilizer applications.
The certification mandates that contractors sign a legal statement confirming their understanding of the PDMP terms and conditions, with potential penalties for non-compliance including substantial fines or contract termination. Contractors must provide company details, contact information, and specifics about their pesticide application services. The document provides a direct link to the full PDMP documentation and emphasizes the importance of informing all employees working on the project about the permit requirements and environmental management protocols.
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Other files
| File | Type | Posted |
|---|---|---|
| Pesticide Specifications - Revised Feb 2025 (1) (1).docx | DOCX document | |
| How to Submit an Online Response - March 2023.pdf | ||
| Final_RFB_605_2500000528_1_SO_FORM.PDF |
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Text version
CONTRACTOR CERTIFICATION
Contract Number: _______________________________________
Contract Name: _________________________________________
Contractor Representative: ________________________________
As a contractor, you are required to comply with the KPDES Pesticide General Permit, KYG99, and the Pesticide Discharge Management Plan (PDMP) for any work that you perform for the above designated contract. Any person or group who violates any condition of the PDMP may be subject to substantial penalties or loss of contract. You are encouraged to advise each of your employees working on this project of the requirements of the PDMP. A copy of the PDMP is available for your review at the link below:
https://transportation.ky.gov/Maintenance/Documents/Pesticide%20Discharge%20Management
%20Plans/D-3%20PDMP%20Complete.pdf
Each contractor engaged in pesticide activities in the pest management area that could impact waters of the United States must be identified and sign the following certification statement.
I certify under penalty of law that I have read and understand the terms and conditions of the
PDMP for the above designated project.
This certification is hereby signed in reference to the above named contract.
Company: _____________________________________________
Address: _____________________________________________
City/State/Zip:_____________________________________________
Telephone Number: ________________________________________
Type of pesticide application service to be provided:
Herbicide, insecticide, and fertilizer applications
Signature: _____________________________________________
Title: _____________________________________________
Date: _____________________________________________
File details come from the government source that posted it. Updated .