17.Domestic Workforce Utilization Certification Form.pdf
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- Solicitation number
- 6100066560
- Issued by
- Pennsylvania
About this file
This is a Domestic Workforce Utilization Certification Form used by the Commonwealth of Pennsylvania for multiple award contracts. The form applies to the Professional Broadcast, Audio Visual & Multi-Media Equipment and related services contract opportunity, which covers professional broadcast, AV, and multimedia equipment, supplies, installation, maintenance, and upgrades for Commonwealth agencies. The scope of services includes video production, editing and post-production equipment; digital still photography; video and audio signal processing; video routers and servers; digital asset management systems; digital signage; cable system head end and distribution; AV conference and training room equipment; AV control systems; and displays, monitors, and projectors. Contractors are required to complete and sign this certification form to receive consideration for the domestic workforce utilization criterion during the best value selection process for each particular assignment.
The certification requires contractors to declare either that all direct labor will be performed exclusively within the United States or within World Trade Organization Government Procurement Agreement party countries, or to specify the percentage of direct labor to be performed within these approved geographical boundaries. Contractors must identify any direct labor to be performed outside the United States and outside WTO GPA party countries and disclose the specific countries where such work will occur. The form emphasizes that maximum consideration is given to suppliers performing contracted direct labor exclusively within approved territories, while those proposing to perform portions of direct labor outside these boundaries receive correspondingly smaller evaluation scores. Failure to complete and sign the certification results in no consideration for this evaluation criterion, and the certification becomes a contractual obligation upon contract execution. Any misstatement on the form is treated as fraudulent concealment punishable under Pennsylvania Crimes Code Section 4904.
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Text version
BOP-1301.Multiple Award Revised 02/23/2018
DOMESTIC WORKFORCE UTILIZATION CERTIFICATION FOR MULTIPLE AWARD
CONTRACTS
To the extent permitted by the laws and treaties of the United States, this certification will be used by the Agency in making a best value selection for each particular assignment. Each quote will be evaluated for its commitment to use the domestic workforce in the fulfillment of the contract. Maximum consideration will be given to those suppliers who will perform the contracted direct labor exclusively within the geographical boundaries of the United States or within the geographical boundaries of a country that is a party to the World Trade Organization Government Procurement Agreement. Those who propose to perform a portion of the direct labor outside of the United States and not within the geographical boundaries of a party to the World Trade Organization Government Procurement Agreement will receive a correspondingly smaller score for this criterion. In order to be eligible for any consideration for this criterion, suppliers must complete and sign the following certification. This certification will be included as a contractual obligation when the contract is executed. Failure to complete and sign this certification will result in no consideration being given to the supplier for this criterion.
I, ______________________[title] of ____________________________________[name of Contractor] a _______________ [place of incorporation] corporation or other legal entity, (“Contractor”) located at [address], do hereby certify and represent to the Commonwealth of Pennsylvania (“Commonwealth”) (Check one of the boxes below):
All of the direct labor performed within the scope of services under the contract will be performed exclusively within the geographical boundaries of the United States or one of the following countries that is a party to the World Trade Organization Government Procurement Agreement: Armenia, Aruba, Austria, Belgium, Bulgaria, Canada, Chinese Taipei, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Israel, Italy, Japan, Korea, Latvia, Liechtenstein, Lithuania, Luxemburg, Malta, Moldovia, Montenegro, New Zealand, the Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, Ukraine and the United Kingdom.
OR
________________ percent (_____%) [Contractor must specify the percentage] of the direct labor performed within the scope of services under the contract will be performed within the geographical boundaries of the United States or within the geographical boundaries of one of the countries listed above that is a party to the World Trade Organization Government Procurement Agreement. Please identify the direct labor performed under the contract that will be performed outside the United States and not within the geographical boundaries of a party to the World Trade Organization Government Procurement Agreement and identify the country where the direct labor will be performed:
[Use additional sheets if necessary]
The Department of General Services [or other purchasing agency] shall treat any misstatement as fraudulent concealment of the true facts punishable under Section 4904 of the Pennsylvania Crimes Code, Title 18, of Pa.
Consolidated Statutes.
Attest or Witness: ______________________________ Corporate or Legal Entity’s Name
Signature/Date Signature/Date
BOP-1301.Multiple Award Revised 02/23/2018
Printed Name/Title Printed Name/Title
Printed Name/Title Printed Name/Title
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