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i <br /> ` DiN IS10,OF PLAVI!NDUSTR� <br /> DeDorim r , <br /> ul iencullure <br /> MEMORANDUM <br /> TO- Limited Commercial /Public Applicators <br /> FROM: Pesticide Section <br /> SUBJECT: Limited Commercial/Public Applicator Registration <br /> Your registration expires on December 31 of this year. If you intend to use restricted use pesticides or <br /> wish to renew Hour registration voluntarily, please note the following procedures <br /> 1 Review each page of the attached application for accuracy and make any necessary <br /> corrections; <br /> NOTE: Please read, review. and answer all questions caiefulk If any question is answered <br /> incorrectly or the required information is not SLIhInitted, the application will be retained <br /> 2 If you add a new qualified supervisor or certified operator or delete the same, please be <br /> advised that this office requires a"Notification of Qualified Supervisor or Certified <br /> Operator Form" (DPI-PA-58)be completed before they can be listed or deleted from your <br /> registration. This form needs to accompany the application ONLY if changes are made to <br /> your registration. This form can be downloaded from the departments web page at: <br /> http /hvNvw ag state.co us/DPI/PesticideApplicatoi-,Fori-ns'Notificatioiiot'Q)SCO pdf <br /> 3 Sign and date each page of the application. <br /> 4. Attach the registration fee of$50.00 <br /> Make checks payable to the Colorado Department of Agriculture, <br /> 5. Enclose a NENV and CURRENT Certificate of Good Standing. <br /> Puhiic applicators and sole-proprietorships are NOT required to provide a certificate of <br /> good standing. A certificate of good standing is required by the Rules issued <br /> under Title 34, Article 10 for all corporations and other business entities for <br /> which the Secretary of State provides such documentation. The company's <br /> standing MUST be reaffirmed each year. Certificates of good standing that were <br /> issued over 60 days prior to an applicant's application will not be accepted. <br /> 6. A certificate of Good Standing may be requested from the Secretary of State's Office <br /> through their webb site at A,ww.sos.state.co. Return the completed registration <br /> form, the registration fee, and new certificate of good standing (if applicable) to <br /> the above address. Your new registration and endorsement will be mailed to you <br /> INFORMATION CONTINUED ON REVERSE SIDE <br />