DomesticWorkforceUtilizationCertificationForm_MultipleAward.doc
DOC document 47 KB Posted
- Attached to
- Thermoform PVC Pipe Liner Install
- Solicitation number
- 6100066352
- Issued by
- Fulton County, Pennsylvania
About this file
This is a Domestic Workforce Utilization Certification Form for multiple award contracts issued by the Commonwealth of Pennsylvania. The certification is a mandatory requirement for suppliers bidding on state contracts and serves as a contractual obligation once executed. The form requires contractors 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, including nations such as Canada, the United Kingdom, Japan, Germany, and numerous European countries. Contractors must specify the exact percentage of domestic versus offshore labor and identify any countries where direct labor will be performed outside approved geographical boundaries. Bids for the Thermoform PVC Pipe Liner installation project in Franklin County will be publicly opened and read virtually via Microsoft Teams on July 28, 2026, at 1:00 PM Eastern Standard Time. The resulting Purchase Order will be valid through June 1, 2027, with no renewal options, although the Commonwealth reserves the right to extend any single contract term for up to three months under the same terms and conditions.
The solicitation is set aside for small business bidders only, and all bids must be submitted electronically through the PA Supplier Portal at www.pasupplierportal.state.pa.us. All line items must be bid in full, or the bid will be considered void. Failure to complete and sign the Domestic Workforce Utilization Certification will result in the bidder receiving no consideration under this evaluation criterion, and Pennsylvania law treats any misstatement in the certification as fraudulent concealment punishable under Section 4904 of the Pennsylvania Crimes Code. Contractors who commit to performing direct labor exclusively within the United States or approved WTO countries will receive maximum consideration, while those proposing to perform any portion of direct labor outside these boundaries will receive correspondingly lower scores for this criterion.
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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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