RFPAttD - Proposal Cover Sheet and Applicator License Form.pdf

PDF 146 KB Posted

Attached to
2023 Sudden Oak Death Eradication Services
Solicitation number
S-62900-00007462
Issued by
Crook County, Oregon

About this file

The document is an Attachment D - Proposal Cover Sheet and Applicator License Form for an RFP issued by the State of Oregon Department of Forestry for 2023 Sudden Oak Death Eradication Services in Curry County, Oregon. The RFP seeks proposals to conduct work related to the eradication of the Sudden Oak Death (SOD) pathogen in Curry County. The form requires proposers to provide company information, authorized representatives, and details on their commercial pesticide applicator licenses and BOLI Farm/Forest Labor Licenses.

The RFP is for the State of Oregon, with the project focused on Curry County. The RFP also includes the cities of Salem as part of the jurisdictions covered. Proposers must have the appropriate pesticide applicator and labor licenses to perform the work. The RFP does not provide details on pricing, funding, or incumbent information.

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Text version

RFP S-62900-00007462 – 2023 Sudden Oak Death Eradication Services Att D

ATTACHMENT D – PROPOSAL COVER SHEET

Company Authorized Representative

Organization Name: _____________________________________________________

Primary Contact Person: ___________________ Title: __________________________

Address: ______________________________________________________________

City, State, Zip: _________________________________________________________

Telephone: _______________ Fax: _______________

E-mail Address: ________________________________________________________

Name and title of the person(s) authorized to represent the Proposer in any negotiations and sign any Purchase Orders that may result:

Name: __________________________Title:__________________________________

Applicator License Information

Commercial Commercial Pesticide Applicator Immediately Supervised Trainee License Employee Name License No. License No. Date Exp.

1.

2.

3.

4.

5.

6.

7.

8.

RFP S-62900-00007462 – 2023 Sudden Oak Death Eradication Services Att D

9.

10.

11.

12.

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14.

15.

BOLI Farm/Forest Labor License: Provide valid BOLI Farm/Forest Labor License Number below.

BOLI Farm/Forest Labor License Number:__________________________

I certify that the employees, as listed above, possess a valid license of the type stated above.

Signature:

Title:

Company Name:

Date:

File details come from the government source that posted it. Updated .