Agricultural Herbicide Application Form

AGRICULTURAL HERBICIDE APPLICATION AGREEMENT

Parties and Contact Information

Applicator License/Certification No.:     Insurance Carrier:

Recitals

WHEREAS, Client desires to engage Applicator to provide herbicide application services on the property described below, under the terms and conditions set forth in this Agreement; and

WHEREAS, Applicator represents that it is duly licensed and trained to select, mix, and apply agricultural herbicides and agrees to perform services in conformity with label instructions, applicable regulation, and industry standard practices; and

WHEREAS, the parties wish to set forth the scope, payment, scheduling, and legal terms governing such services.

Property and Application Site

Crop or Site Description:     Acres or Area to be Treated:

Scope of Work

The Applicator shall perform the following services in material compliance with product labels and applicable law:

Herbicide Product(s) to be Used:

EPA Registration No.(s) / Label Reference:

Application Rate and Mix:

Scheduling and Weather Conditions

Preferred Application Window Start:     Preferred Application Window End:

Weather Limitations / Do Not Apply Conditions:

Buffer Zones and Sensitive Areas to Avoid:

Payment Terms

Total Contract Amount: $

Late Payment Fee:

Term and Termination

Agreement Commencement Date:     Agreement Expiration Date:

Either party may terminate this Agreement for material breach upon written notice and a day cure period. Either party may also terminate without cause upon days prior written notice.

Certifications, Compliance and Indemnity

Applicator certifies that all herbicide mixes will be applied strictly in accordance with the manufacturer label directions, state and federal pesticide laws, and any local ordinances. Applicator shall maintain, at its expense, insurance adequate to cover liability for bodily injury, property damage, and pesticide-related incidents and shall provide proof of such insurance upon request.

Client shall disclose any known sensitive crops, beekeeping operations, water sources, or other conditions that could be adversely affected by herbicide use. Client agrees to indemnify and hold Applicator harmless for damages arising from Client's failure to disclose relevant site conditions or for Client's instructions that contravene label directions or law.

Applicator shall implement reasonable measures to prevent drift, off-target movement, and contamination of non-target areas. Applicator shall promptly notify Client of any accidental release, misapplication, or other incident and provide written incident reports.

Confidentiality

Each party agrees that proprietary business information and site-specific application methods disclosed in connection with this Agreement constitute Confidential Information. Neither party will disclose such Confidential Information to third parties without prior written consent, except as required by law or to comply with regulatory reporting obligations.

Governing Law; Dispute Resolution

This Agreement shall be governed by and construed under the laws of the state chosen by the parties. The parties agree that any dispute arising hereunder shall be resolved first through good faith negotiation between authorized representatives. If unresolved, disputes shall be submitted to mediation prior to any civil action.

Entire Agreement

This Agreement, including any attachments and written amendments signed by both parties, constitutes the entire agreement between Client and Applicator concerning the subject matter hereof and supersedes all prior agreements, proposals, or representations, whether written or oral. No amendment shall be effective unless in writing and signed by both parties.

Acknowledgment and Certification

By signing below, Client acknowledges receipt of product labels and application plan and authorizes Applicator to proceed consistent with the Scope of Work. Applicator certifies that personnel performing applications are trained and that records of applications will be maintained in accordance with applicable law.

Emergency Contact for Client:

Emergency Contact for Applicator:

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