RFPAttD-Proposal Cover Sheet and Applicator License Form_SOD Mechanical Eradication.pdf

PDF 92 KB Posted

Attached to
2023 Sudden Oak Death Mechanical Eradication Services
Solicitation number
S-62900-00007727
Issued by
Crook County, Prospect CDP, Oregon

About this file

This document is an Attachment D - Proposal Cover Sheet and Applicator License Form for RFP S-62900-00007727 for 2023 Sudden Oak Death Mechanical Eradication Services in the state of Oregon. The contract opportunity involves Marion County and the cities of Salem (under two different FIPS codes). The RFP requests proposals for commercial pesticide applicator services to provide mechanical eradication of Sudden Oak Death. Applicants must list their licensed employees who will perform the work. Proposals are due by a date not specified in the provided documents. The contract term is for 2023.

The document requires applicants to provide their company information, authorized representative, and details on their commercial pesticide applicator licenses, including license numbers and expiration dates. Applicants must also provide a valid BOLI Farm/Forest Labor License number. Pricing terms, set asides, funding sources, and other salient information are not included in the provided documents.

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RFP S-62900-00007727 – 2023 Sudden Oak Death Mechanical 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-62900-00007727 – 2023 Sudden Oak Death Mechanical Eradication Services Att D

9.

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11.

12.

13.

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 .