Pesticide Certification.pdf
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- Solicitation number
- RFB 605 2500000563 1
- Issued by
- Calloway County, Kentucky
About this file
This is a Pesticide Certification document issued by the Kentucky state government, specifically related to compliance with the KPDES Pesticide General Permit (KYG99) and associated regulatory requirements. The certification requires contractors performing pesticide-related work on designated state contracts to acknowledge and comply with the Pesticide Discharge Management Plan (PDMP). The document specifies that contractors providing herbicide, insecticide, and fertilizer application services must complete and sign the certification prior to commencing work. The certification obligates contractors to understand the terms and conditions outlined in the PDMP, which is available through the Kentucky Transportation Cabinet website, and to communicate these requirements to all employees assigned to the project.
Contractors who violate any condition of the PDMP are subject to substantial penalties or contract termination. The certification form requires the contractor to provide company information, address, contact details, and signature from an authorized representative with their title and date. No specific pricing, set-asides, incumbency status, or funding details are provided in this document, as it functions solely as a compliance and acknowledgment instrument required for contract performance in pest management areas that could impact waters of the United States.
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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 .