Pesticide Certification.pdf

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Attached to
Landscape Maintenance Carter County I-64 Rest Areas Rebid #2
Solicitation number
RFB 605 2500000697 1
Issued by
Calloway County, Kentucky

About this file

This is a Pesticide Certification document issued by the Kentucky Transportation Cabinet for contractors performing work on state contracts. Contractors engaged in pesticide activities within designated pest management areas that could impact waters of the United States are required to comply with the KPDES Pesticide General Permit (KYG99) and the Pesticide Discharge Management Plan (PDMP). The document mandates that each contractor sign a certification statement confirming they have read and understand the terms and conditions of the PDMP for their designated contract. Contractors must identify the type of pesticide application services they will provide, which may include herbicide, insecticide, and fertilizer applications. The certification requires the contractor's company name, address, contact information, and authorized signature from a company representative with specified title and date.

Violations of any condition within the PDMP may result in substantial penalties or loss of contract. Contractors are encouraged to communicate PDMP requirements to all employees working on the project. The complete PDMP documentation is available for review through the Kentucky Transportation Cabinet's Maintenance Division website, ensuring contractors have full access to compliance specifications before executing the certification statement.

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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 .