Appendix H - Certification of Workers Rights.pdf
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- Solicitation number
- 26-00007
About this file
This is a Certification of Workers' Rights document issued by the Washington Department of Fish and Wildlife (WDFW) for the Samish River Unit Tree and Shrub Planting Project. The document establishes compliance requirements with Executive Order 18-03 regarding workers' rights in state contracts. Bidders are required to certify whether their firm mandates employees to sign mandatory individual arbitration clauses or class or collective action waivers as a condition of employment. The certification must be completed by an authorized representative of the firm, signed under penalty of perjury under Washington state law, and include the firm's legal entity name, the signatory's printed name and title, the date signed, and the location where signed.
Firms that certify they do NOT require employees to sign mandatory individual arbitration clauses or class or collective action waivers are eligible to receive a 3% bid preference under the best value evaluation criteria. This preference incentivizes bidders to adopt worker-friendly employment practices aligned with state policy objectives. The certification is a mandatory submission component for any firm seeking to bid on this tree and shrub planting project and constitutes a binding declaration subject to the penalties of perjury under Washington law.
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Text version
Appendix H-No. 26-00007 Samish River Unit Tree and
Shrub Planting Project
Certification of Executive Order 18-03, Workers’ Rights in Contracts
Pursuant to RCW 39.26.160(3) (best value criteria) and consistent with Executive Order 1803 – Supporting Workers’ Rights to Effectively Address Workplace Violations (dated June 12, 2018), the Washington Department of Fish and Wildlife will evaluate bids for best value and provide a bid preference in the amount of 3% to any bidder who certifies, pursuant to the certification below that its firm does NOT require its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waiver.
I hereby certify, on behalf of the firm identified below, as follows (check one):
□ NO MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE ACTION
WAIVERS FOR EMPLOYEES. This firm does NOT require its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers.
OR
□ MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE ACTION
WAIVERS FOR EMPLOYEES. This firm requires its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers.
I HEREBY CERTIFY, UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON, THAT THE CERTIFICATIONS HEREIN ARE TRUE AND CORRECT AND THAT I AM AUTHORIZED TO MAKE
THESE CERTIFICATIONS ON BEHALF OF THE FIRM LISTED HEREIN.
FIRM NAME:
NAME OF VENDOR – PRINT FULL LEGAL ENTITY NAME OF FIRM
dba, if applicable
By: _________________________ Title: __________________________________
SIGNATURE OF AUTHORIZED PERSON TITLE OF PERSON SIGNING CERTIFICATE
Name: ___________________________________ Date Signed: ________________________
PRINT NAME OF PERSON MAKING CERTIFICATIONS FOR FIRM
Place Signed:
PRINT CITY AND STATE
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