Pesticide Certification.pdf
PDF 4 KB Posted
- Attached to
- Landscape Maintenance Bullitt Co Rest Area
- Solicitation number
- RFB 605 2400000463 2
- Issued by
- Breckinridge County, Kentucky
About this file
This is a Pesticide Certification document issued by the Kentucky Department of Transportation for contractors performing work on designated contracts. The document requires contractors engaged in pesticide activities within pest management areas 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 terms and conditions of the PDMP before commencing work, with a complete copy of the plan available through the Kentucky Transportation Cabinet website. The certification covers pesticide application services including herbicide, insecticide, and fertilizer applications. Contractors are required to complete the certification form by providing contract details, company information, contact details, and type of pesticide services to be provided, signed by an authorized representative.
Non-compliance with the PDMP conditions may result in substantial penalties or contract termination. Contractors are encouraged to brief all employees on project requirements related to the PDMP. The certification document does not specify pricing terms, contract duration, or renewal options, as it functions as a compliance requirement rather than a complete contract agreement. This certification requirement applies to all contractors performing pesticide work on Kentucky Transportation projects that may affect regulated waters.
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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 .