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 is a Pesticide Certification form required by the Kentucky Transportation Cabinet for state contracts involving pesticide activities. The form mandates contractor compliance with the KPDES Pesticide General Permit (KYG99) and the Pesticide Discharge Management Plan (PDMP) for any work performed under the designated contract. Contractors must certify their understanding of the PDMP terms and conditions, which are available for review through the Kentucky Transportation Cabinet website. The certification applies to all pesticide application services, including herbicide, insecticide, and fertilizer applications that could impact waters of the United States. Contractors are required to inform their employees of PDMP requirements, and violations of the plan's conditions may result in substantial penalties or contract termination.
The certification form requires completion of contractor information including company name, address, contact details, and the contractor representative's signature, title, and date. This administrative document serves as a compliance verification mechanism rather than a pricing or service specification document, establishing the contractor's acknowledgment of regulatory obligations under penalty of law. No pricing terms, contract amounts, or performance schedules are outlined in this certification form.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_605_2500000528_1_SO_FORM.PDF | ||
| Pesticide Specifications - Revised Feb 2025 (1) (1).docx | DOCX document | |
| How to Submit an Online Response - March 2023.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 .