BOP 1301 DomesticWorkforceUtilizationCertificationForm.doc
DOC document 47 KB Posted
- Attached to
- District 3 Herbicide Spraying Service
- Solicitation number
- 6100065252
- Issued by
- Lycoming County, Pennsylvania
About this file
This is a Domestic Workforce Utilization Certification form for multiple award contracts issued by the Commonwealth of Pennsylvania. The document establishes evaluation criteria for supplier quotes based on the commitment to use domestic workforce in contract fulfillment. The form applies to the District 3 Herbicide Spraying Service contract for PennDOT, covering herbicide spraying services in Bradford, Columbia, Lycoming, Montour, Northumberland, Snyder, Sullivan, Tioga, and Union Counties. All bidders must submit bids electronically through the PA Supplier Portal at www.pasupplierportal.state.pa.us, with questions directed to Sandra Duke at sanduke@pa.gov prior to Friday, March 6, 2026, at 10:00 am Eastern Standard Time. Bids will be publicly opened and read virtually via Microsoft Teams. All line items must be bid or the bid will be considered void. The initial contract term is one year with options for four additional one-year renewals, for a maximum total contract period of five years.
Suppliers must complete and sign the certification as a contractual obligation, certifying either that all direct labor will be performed exclusively within the United States or within countries that are parties to the World Trade Organization Government Procurement Agreement, or specifying the percentage of direct labor to be performed in eligible locations. Those performing direct labor outside the United States and outside WTO Government Procurement Agreement countries will receive proportionally reduced scores for this evaluation criterion. Failure to complete and sign the certification will result in no consideration for this criterion. Any misstatement in the certification is treated as fraudulent concealment under Section 4904 of the Pennsylvania Crimes Code and is punishable accordingly.
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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
Printed Name/Title
Printed Name/Title BOP-1301.Multiple Award
Revised 02/23/2018
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