Attachment 5 - Employment of Eligible Workers - Workforce Certification.pdf
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- Solicitation number
- 1240BG26Q0040
About this file
This is a workforce certification form required for federal contract compliance regarding the employment of eligible workers under the Migrant and Seasonal Agricultural Workers Protection Act (MSPA) and Farm Labor Contractor (FLC) Certificate of Registration requirements.
Contractors must certify their workforce composition and provide documentation of compliance with labor regulations. The form requires contractors to declare whether they will utilize H-2B temporary workers, in which case a copy of the Temporary Employment Certificate from the Department of Labor must be provided. For MSPA workers, contractors must certify either that they will not be utilizing such workers or that they possess a valid FLC Certificate of Registration, which must include authorization for transporting workers, driving, and housing workers. Contractors without current FLC certification must apply for one and provide proof of registration prior to contract award; failure to furnish the required certificate within a reasonable timeframe renders the contractor ineligible for award. Subcontractors are subject to identical licensing and permit requirements, and prime contractors must submit signed subcontractor certifications with their solicitation responses. Partnerships must furnish proof of state registration under their assumed business name if applicable. The form requires execution by an authorized company representative with signature, date, printed name, and title. This is a template form to be completed and submitted as part of solicitation responses.
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Attachment 005 – Employment of Eligible Workers - Workforce Certification
Contractors are required to provide certification under this solicitation in compliance with the Migrant and Seasonal Agricultural Workers Protection Act (MSPA) and Farm Labor Contractor (FLC) Certificate of Registration requirements describing the workforce they will utilize to fulfill the contract requirements under this solicitation and any resulting contract. If the Contractor will supply workers under the H-2B Program, the Contractor is required to provide a copy of the Temporary Employment Certificate issued by DOL.
Subcontractors are bound by the same requirements for licenses and permits under this contract.
If a Prime Contractor identifies a Subcontractor as part of their workforce to accomplish the work under this solicitation, the Prime Contractor shall submit the Subcontractor's signed certification with their response to the solicitation.
H-2B Workers: (https://foreignlaborcert.doleta.gov/about.cfm)
Company certifies it will not be utilizing H2B Workers under any resulting contract of this solicitation.
Company will be utilizing H2B Workers (under any resulting contract of this solicitation. Provide a copy of Temporary Employment Certificate.) MSPA Workers:
(http://www.dol.gov/whd/mspa/)
Company certifies it will not be utilizing MSPA workers under any resulting contract of this solicitation.
Certifies has valid FLC certificate of registration. (Attach a copy of current certification.) Authorization includes:
Transporting workers
Driving
Housing workers
Company has applied for a Certificate of Registration on ______________ .
Contractors not currently having obtained a certificate (for each partner, if partnership) will be requested to furnish proof of having obtained a Certificate of Registration prior to award of contract. If the contractor does not provide the required Certificate in a reasonable timeframe, the contractor will not be eligible for the contract award. Partnerships must furnish proof of registration of their assumed business name, if any, with the State of registration.
State of ______________ No.______________
Information about licensing requirements and procedures may be obtained from the following:
https://foreignlaborcert.doleta.gov/about.cfm http://www.dol.gov/whd/mspa/
I, on behalf of said Company, certify to the above responses.
SIGNATURE: DATE:
PRINTED NAME: TITLE:
(End of provision)
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