Pesticide Certification.pdf
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- Solicitation number
- RFB 605 2500000623 1
- Issued by
- Calloway County, Kentucky
About this file
This is a Pesticide Certification document issued by the Kentucky Department of Transportation for contractors performing work on state contracts. The document requires all contractors engaged in pesticide activities that could impact waters of the United States to certify compliance with the KPDES Pesticide General Permit (KYG99) and the Pesticide Discharge Management Plan (PDMP). Contractors must read and understand the PDMP terms and conditions prior to performing pesticide-related work, including herbicide, insecticide, and fertilizer applications. The certification must be signed by an authorized company representative and submitted for the specific contract identified. A copy of the PDMP is available through the Kentucky Transportation Cabinet's website for contractor review prior to execution.
Contractors who violate any condition of the PDMP are subject to substantial penalties or contract termination. The certification requirement applies to all contractors performing pest management activities as part of their contract deliverables. This document serves as the contractual mechanism to ensure compliance with federal water quality regulations and state pesticide management requirements across all Kentucky Department of Transportation contracts involving pesticide applications.
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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 .