DomesticWorkforceUtilizationCertificationForm_MultipleAward.doc
DOC document 47 KB Posted
- Attached to
- Replacement Plexiglass for Play Stations
- Solicitation number
- 6100066383
- Issued by
- Dauphin County, 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 applies to the Replacement Plexiglass for Play Stations contract opportunity, which requires suppliers to provide 15 1/2" W x 6" H plexiglass replacements for Lottery playstation units. The plexiglass panels must feature rounded edges with two drilled holes at the top of each edge, approximately 1/2" from the edge. Delivery must occur within 40 business days following proof approval, with the Commonwealth providing proof approval within 2 business days of receipt. Suppliers are required to submit a physical proof for approval within 7 working days of receiving the purchase order. Packaging must comply with Commonwealth Supplier Shipping & Receiving Guidelines, with individual packages not exceeding 50 pounds and requiring quantity and description labeling.
Suppliers must complete and sign the certification to receive consideration under this criterion, with failure to do so resulting in no evaluation score for the domestic workforce utilization component. Contractors may commit to performing all direct labor exclusively within the United States or within countries that are parties to the World Trade Organization Government Procurement Agreement, or specify a percentage of labor to be performed in approved jurisdictions. Those proposing to perform direct labor outside the United States and outside WTO Government Procurement Agreement countries will receive proportionally reduced scores. Any misstatement in the certification is treated as fraudulent concealment under Section 4904 of the Pennsylvania Crimes Code, Title 18.
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Other files
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| std_9s - 16 in Playstation Plexiglass Replacement.docx | DOCX document | |
| Terms and Conditions for bid 6100066383.pdf | ||
| Worker Protection and Investment Cert Form (BOP 2201).docx | DOCX document | |
| Reciprocal Limitations Act Requirements (GSPUR89).doc | DOC document | |
| Lobbying Certification Form (BOP 1307).doc | DOC document | |
| Iran Free Procurement Certification Form (BOP 1701).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], 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 .