Pesticide Certification.pdf
PDF 4 KB Posted
- Attached to
- Landscape Maintenance Rowan County Rest Areas
- Solicitation number
- RFB-605-2500000549-1
- Issued by
- Rowan County, Kentucky
About this file
This document is a Contractor Certification form from the Kentucky Transportation Cabinet related to the KPDES Pesticide General Permit (KYG99) and Pesticide Discharge Management Plan (PDMP). The certification requires contractors performing pesticide-related work to comply with environmental regulations for activities that could potentially impact waters of the United States. Contractors must review the PDMP, understand its terms, and sign a certification acknowledging their compliance, with the specific type of pesticide application service being herbicide, insecticide, and fertilizer applications.
The document outlines potential penalties for non-compliance, including substantial fines or loss of contract, and requires contractors to inform their employees about PDMP requirements. The certification form includes fields for contract details, company information, contact details, and a signature line, with the full PDMP document available for review via a provided web link. While no specific contract value or duration is mentioned, the form is designed to ensure environmental protection and regulatory compliance for pesticide-related work performed under state transportation contracts.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_RFB_605_2500000549_1_SO_FORM.PDF | ||
| Pesticide Specifications - Revised Feb 2025 (1) (2).docx | DOCX document | |
| How to Submit an Online Response - March 2023.pdf |
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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 .