Domestic Workforce Utilization Certification Form.doc
DOC document 66 KB Posted
- Attached to
- Fuel Tank Repair
- Solicitation number
- 6100066803
- Issued by
- Potter County, Pennsylvania
About this file
This is a Domestic Workforce Utilization Certification Form document related to a Pennsylvania fuel tank repair contract opportunity. The document serves as a compliance certification tool for bidders on the project, which involves cleaning sludge from the bottom of a 15,000-gallon diesel fuel tank, sand blasting the interior, and applying a protective line coating to the tank's surface. The form is designed to ensure that contractors participating in this state and local contract opportunity comply with domestic workforce utilization requirements as mandated by Pennsylvania procurement regulations.
The certification form requires bidders to document their commitment to employing domestic workers on the project and to provide detailed information regarding their workforce composition and hiring practices. Contractors must attest to their compliance with applicable workforce utilization standards, which may include provisions for apprenticeship programs, prevailing wage requirements, or other labor standards specific to Pennsylvania public works or service contracts. This documentation is a prerequisite for bid submission and contract award, ensuring that the selected contractor meets all state workforce development and utilization objectives for the fuel tank repair project.
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Other files
| File | Type | Posted |
|---|---|---|
| Terms and Conditions.pdf | ||
| Prevailing Wage Determination.aspx.pdf | ||
| ReciprocalLimitationsActPreferencesList.doc | DOC document | |
| OS-34 - Addendum 1 - RFx 6100066803.docx | DOCX document | |
| Trade Secret Confidential Proprietary Information Notice.pdf | ||
| OS-34 - Addendum 2 - RFx6100066803 - QandA.docx | DOCX document | |
| Questions and Answers 10-15-26.pdf | ||
| Worker Protection and Investment Certification Form (BOP 2201).docx | DOCX document | |
| Statement Of Work - Potter County PennDOT Fuel Tank Repair - SBR.docx | DOCX document | |
| Statement Of Work - Potter County PennDOT Fuel Tank Repair.docx | DOCX document |
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Text version
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
File details come from the government source that posted it. Updated .