Pesticide Certification.pdf

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Attached to
Landscape Maintenance Rowan County Rest Areas
Solicitation number
RFB 605 2500000549 1
Issued by
Rowan County, Kentucky

About this file

This is a Pesticide Certification document issued by the Kentucky Department of Transportation related to compliance with the KPDES Pesticide General Permit, KYG99. The document establishes mandatory certification requirements for all contractors engaged in pesticide activities on designated contracts that could impact waters of the United States. Contractors must acknowledge understanding and compliance with the Pesticide Discharge Management Plan (PDMP) specific to their project before commencing work. The certification applies to herbicide, insecticide, and fertilizer applications, and contractors are required to ensure all employees working on the project are informed of PDMP requirements. The document references the D-3 PDMP Complete document available at the Kentucky Transportation website as the governing framework for pesticide discharge management on the project.

Contractors must complete and sign the certification statement under penalty of law, providing company information, contact details, the specific type of pesticide application services to be provided, and authorized signature. Violation of any condition of the PDMP may result in substantial penalties or contract termination. The certification serves as a contractual binding agreement between the contractor and the state, ensuring compliance with federal and state environmental regulations governing pesticide application near waters of the United States.

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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 .