Domestic Utilization Form (1).pdf
PDF 155 KB Posted
- Attached to
- Pike and Wayne Secondary Herbicide Services
- Solicitation number
- 6100065046
- Issued by
- Philadelphia County, Pennsylvania
About this file
This is a Domestic Workforce Utilization Certification form required by the Commonwealth of Pennsylvania for state and local contract opportunities, specifically applicable to the Pike and Wayne County Roads Secondary Herbicide Services contract. The form establishes scoring criteria for offerors based on their commitment to utilize domestic workforce in contract performance. Offerors must certify their direct labor performance location and choose between two options: performing all direct labor exclusively within the United States or World Trade Organization Government Procurement Agreement member countries, or specifying a percentage of direct labor performed within approved geographical boundaries while identifying any work performed outside these areas and the corresponding countries involved. The certification must be completed, signed, and submitted by the contractor's authorized representative; failure to do so results in no consideration under this evaluation criterion.
The form establishes that maximum consideration will be given to offerors proposing to perform contracted direct labor exclusively within the United States or WTO GPA member countries, with proportionally reduced scores for those proposing to perform portions of direct labor outside these approved geographical boundaries. The authorized list of WTO GPA member countries includes Armenia, 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, Luxembourg, Malta, the Netherlands, Norway, Poland, Portugal, Romania, Singapore, Slovak Republic, Slovenia, Spain, Sweden, Switzerland, and the United Kingdom. The Commonwealth treats any misstatement in this certification as fraudulent concealment punishable under Section 4904 of the Pennsylvania Crimes Code, and the certification becomes a contractual obligation upon contract execution.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Worker Protection and Investment Cert Form (BOP 2201).docx | DOCX document | |
| OS-501 (1) (4).pdf | ||
| Terms and Conditions Luzern.pdf | ||
| 2026 Pike and Wayne Secondary Herbicide Contract Specs_FINAL PDF.pdf | ||
| Trade Secret Form (2).pdf |
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Text version
APPENDIX B
DOMESTIC WORKFORCE UTILIZATION CERTIFICATION
To the extent permitted by the laws and treaties of the United States, each proposal will be scored for its commitment to use the domestic workforce in the fulfillment of the contract. Maximum consideration will be given to those offerors 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, offerors 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 offeror 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 ________________________, 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, 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
________________ 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
Printed Name/Title Printed Name/Title
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