Attachment 7 - Domestic Workforce Certification.pdf

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Attached to
7840450000 West Dirt Roads
Solicitation number
6100063708
Issued by
Tioga County, Pennsylvania

About this file

This document is a Domestic Workforce Utilization Certification form for multiple award contracts issued by the Commonwealth of Pennsylvania's Department of General Services. The certification is designed to evaluate and score potential contractors based on their commitment to using domestic workforce in contract fulfillment, with maximum consideration given to suppliers who will perform direct labor exclusively within the United States or within countries that are parties to the World Trade Organization Government Procurement Agreement.

The form requires contractors to specify the percentage of direct labor that will be performed within the United States or approved countries, with a comprehensive list of eligible nations provided. Contractors must declare either 100% domestic workforce or specify the exact percentage of domestic labor, identifying any labor to be performed outside the approved geographical boundaries. The document warns that misstatements may be treated as fraudulent concealment, punishable under Pennsylvania's Crimes Code, and emphasizes that failure to complete the certification will result in no consideration for the workforce utilization criterion during the contract evaluation process.

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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

File details come from the government source that posted it. Updated .