Hawaii Administrative Rules
Title 16 - DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS
Chapter 94 - PEST CONTROL OPERATORS
Subchapter 4 - APPLICATION
Section 16-94-18 - Exhibits required

(1) Two certificates to support experience qualifications on a form prescribed by the board. One certificate shall be completed by the pest control operator or RME licensed in the branch for which the application is made and who provided the supervision; and

(2) A job list to support the experience qualifications on a form prescribed by the board, which shall include the information listed in section 16-94-17; provided that if, after a good faith effort, the applicant is unable to obtain a verified job list from the pest control operator or RME, the board in its sole discretion may accept a job list completed and verified by another person familiar with the applicant's experience.

(1) A current credit report covering at least the previous five years and issued within six months of the application date of each individual pest control operator applicant, RME, member of a joint venture or limited liability company, partner of a partnership, manager of a limited liability company, and each officer of a corporate entity;

(2) A copy of a current workers' compensation certificate from an insurer authorized to conduct business in this State or an Unauthorized insurer in accordance with article 8 of chapter 431, HRS, or a risk retention or risk purchasing group in accordance with chapter 431K, HRS, that indicates that the policy is in force; or proof that the person has been authorized to act as a self-insurer under chapter 386, HRS, or is excluded from the requirements of chapter 386, HRS. The board shall be notified of any cancellation, termination, or withdrawal of any policy. Applicants claiming an exclusion under chapter 386, HRS, shall submit and sign a statement claiming such exclusion to the board;

(3) A copy of a current certificate of general liability insurance from an insurer authorized to conduct business in this State, an unauthorized insurer in accordance with article 8 of chapter 431, HRS, or a risk retention or risk purchasing group in accordance with chapter 431K, HRS, showing full policy coverage of the applicant in the minimum amount of $100,000 for any one claim and a minimum aggregate of not less than $300,000 for all claims arising during a policy term of one year. The board shall be notified in writing at least thirty days prior to any cancellation, termination, or withdrawal of any policy by the insurer. If such policy cannot be obtained, the applicant may file with the board in lieu thereof a verified statement providing proof satisfactory to the board of financial responsibility equivalent to that provided for by such insurance policy;

(4) A tax clearance or proof of compliance with a payment arrangement from the state department of taxation issued within six months of the application date; and

(5) Evidence that the entity is properly registered with BREG