3515R08 - Appendix D - Domestic Workforce Utilization Certification.pdf

PDF 33 KB Posted

Attached to
Instrumentation and Monitoring of PA Bridges
Solicitation number
3515R08
Issued by
Allegheny County, Brodheadsville CDP, Pennsylvania

About this file

This document is a Domestic Workforce Utilization Certification for a state and local government contract opportunity. The certification requires contractors to disclose the percentage of direct labor that will be performed within the geographical boundaries of the United States or countries that are party to the World Trade Organization Government Procurement Agreement. Contractors must attest that all direct labor will be performed exclusively within these locations or identify the percentage of direct labor that will be performed outside of these locations. The misstatement of any information in the certification is considered fraudulent concealment punishable under Pennsylvania law.

The certification indicates that the Commonwealth of Pennsylvania will use this information to evaluate the suppliers' commitment to using a domestic workforce in fulfilling the contract requirements. Maximum consideration will be given to suppliers who will perform all direct labor exclusively within the United States or WTO Agreement countries, while suppliers performing any direct labor outside of these locations will receive a correspondingly smaller score for this evaluation criterion.

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3515R08 - Appendix N - Enterprise Information Technology Standards.pdf PDF
3515r08 - Appendix H - Diverse Business Participation for Non-Federally Funded Contracts.pdf PDF
3515R08 - Addendum 5.pdf PDF
3515R08 - Appendix K - Work Order Requirements.pdf PDF
Addendum 5 - Appendix T – Questions and Answers 11.16.16.pdf PDF
3515R08 - Appendix F - List of Bridges Unlocked 10.25.16.xlsx XLSX spreadsheet
3515R08 - Appendix O - Non Disclosure Authorization.pdf PDF
3515R08 - Appendix R - Live Load Testing - General Protocol.pdf PDF
3515R08 - RFP Bridge Instrumentation - FINAL.pdf PDF
3515R08 - Addendum 3.pdf PDF
3515R08 - Appendix G - Service Level Agreement.pdf PDF
3515R08 - Appendix F - List of Bridges to be Instrumented and Monitored 11.16.16.xlsx XLSX spreadsheet
3515R08 - Addendum 4.pdf PDF
3515R08 - Appendix C - Cost Submittal.xlsx XLSX spreadsheet
3515R08 - Appendix E - Proposal Cover Sheet.pdf PDF
3515R08 - Appendix A - Sample Contract.pdf PDF
Addendum 2 - Appendix S – Questions and Answers 10.25.16.pdf PDF
3515R08 - Appendix I - District Community Relations Coordinators Unlocked 10.25.16.xlsx XLSX spreadsheet
3515R08 - Appendix Q - Instrumentation Plan - General Protocols.pdf PDF
3515R08 - Appendix L - Sample Work Order Authorization Page.pdf PDF
3515R08 - Appendix P - Long Term Bridge Performance Protocols.pdf PDF
3515R08 - Appendix B - IT Contract Terms and Conditions.pdf PDF
3515R08 - Addendum 2.pdf PDF
3515R08 - Appendix J - Confirmation of Services (Form OS-501).pdf PDF
3515R08 - Addendum 1.pdf PDF
3515R08 - Appendix M - Trade Secret - Confidentiality Proprietary Information Notice Form.pdf PDF
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APPENDIX D

DOMESTIC WORKFORCE UTILIZATION

CERTIFICATION

DOMESTIC WORKFORCE UTILIZATION CERTIFICATION

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 purchase order. 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], having a Social Security or Federal Identification Number of [number], 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 purchase order 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: Aruba, Austria, Belgium, Bulgaria, Canada, Chinese Taipei, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hong Kong, Hungary, Iceland, Ireland, Israel, Italy, Japan, Korea, Latvia, Liechtenstein, Lithuania, Luxemburg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, and the United Kingdom

OR

[number (example - One Hundred)] percent [percentage (example - 100%)] 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 purchase order 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 Transportation 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

Printed Name/Title Printed Name/Title

APPENDIX D
DOMESTIC WORKFORCE UTILIZATION CERTIFICATION
Attest or Witness:
Corporate or Legal Entity's Name
Signature/Date Signature/Date
Printed Name/Title Printed Name/Title

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