Pesticide Certification.pdf
PDF 4 KB Posted
- Attached to
- Landscape Maintenance Boone Co I-75 Rest Area
- Solicitation number
- RFB-605-2400000462-3
- Issued by
- Boone County, Kentucky
About this file
This document is a Contractor Certification for a state contract related to pesticide management. The contract requires the contractor to comply with the KPDES Pesticide General Permit, KYG99, and the Pesticide Discharge Management Plan (PDMP) for any work performed under the contract. The contractor must advise their employees of the PDMP requirements, which are available for review online. Each contractor engaged in pesticide activities that could impact waters of the United States must sign the certification statement acknowledging they have read and understand the PDMP terms and conditions.
The certification requires the contractor to provide details on the type of pesticide application services they will provide, such as herbicide, insecticide, and fertilizer applications. The contractor must provide their company information, including address and contact details. The certification must be signed by an authorized representative of the contractor, with the title and date provided.
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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 .