Domestic Workforce Utilization Certification Form-Multiple Award.doc
DOC document 52 KB Posted
- Attached to
- D 11-2 Reflective Uniform rental
- Solicitation number
- 6100065920
- Issued by
- Beaver County, Ringtown Borough, Pennsylvania
About this file
This is a Domestic Workforce Utilization Certification Form for Multiple Award Contracts issued by the Commonwealth of Pennsylvania's Department of General Services. The form is a mandatory certification requirement that contractors must complete and sign to be considered for evaluation on their commitment to employing domestic workforce in contract fulfillment. Contractors are required to certify the percentage of direct labor that will be performed within the United States or within countries that are parties to the World Trade Organization Government Procurement Agreement, which includes specified nations such as Canada, the United Kingdom, European Union member states, Japan, South Korea, Israel, and others. Failure to complete and sign the certification results in no consideration being given under this evaluation criterion.
The form provides two certification options: contractors may certify that all direct labor will be performed exclusively within acceptable geographical boundaries, or they may specify a percentage of direct labor to be performed in compliant locations while identifying any work to be performed outside the United States and outside WTO Government Procurement Agreement countries, along with the specific countries where such work will occur. Maximum consideration is given to suppliers committing to exclusively domestic or WTO-compliant workforce utilization, while those proposing to perform portions of direct labor outside these boundaries receive proportionally reduced scoring. The certification becomes a contractual obligation upon contract execution, and any misstatement is treated as fraudulent concealment punishable under Pennsylvania Crimes Code Section 4904.
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Other files
| File | Type | Posted |
|---|---|---|
| OS-52.pdf | ||
| OS-501.pdf | ||
| Term and conditions - Beaver Co..pdf | ||
| Sample Supplier Invoice.docx | DOCX document | |
| BOP-2201 EO 2021-06 Worker Protection Form BOP.docx | DOCX document | |
| ENHANCED MINIMUM WAGE PROVISIONS.pdf | ||
| Statement of Work 11-2 Uniform 04242026.pdf |
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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], 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):
FORMCHECKBOX
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
FORMCHECKBOX
________________ 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
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