04. BOP-2201 EO 2021-06 Worker Protection Form BOP FINAL.pdf

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Attached to
Passenger Vehicles Supplement State and local contract opportunity
Solicitation number
6100064373
Issued by
Dauphin County, Harveys Lake Borough, Pennsylvania

About this file

The document is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania, mandated by Executive Order 2021-06. The form requires contractors and grantees to certify compliance with 13 specific Pennsylvania state labor and workforce safety laws, including acts related to workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, and employment verification. The certification is a mandatory declaration that the contractor/grantee adheres to these labor regulations and understands potential penalties for false certification.

The form includes serious legal consequences for non-compliance, specifically contract termination and a three-year prohibition from bidding on Commonwealth contracts under 62 Pa. C.S. § 531. By signing, the authorized official confirms current compliance with all listed labor laws and commits to immediately reporting any changes in compliance status to the Purchasing Agency. The certification is subject to the provisions of 18 Pa. C.S. § 4904, which addresses unsworn falsification to authorities, underscoring the legal weight of this document.

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Text version

WORKER PROTECTION AND INVESTMENT CERTIFICATION FORM

A. Pursuant to Executive Order 2021-06, Worker Protection and Investment (October 21, 2021), the

Commonwealth is responsible for ensuring that every worker in Pennsylvania has a safe and healthy work environment and the protections afforded them through labor laws. To that end, contractors and grantees of the Commonwealth must certify that they are in compliance with Pennsylvania’s Unemployment

Compensation Law, Workers’ Compensation Law, and all applicable Pennsylvania state labor and workforce safety laws including, but not limited to:

1. Construction Workplace Misclassification Act

2. Employment of Minors Child Labor Act

3. Minimum Wage Act

4. Prevailing Wage Act

5. Equal Pay Law

6. Employer to Pay Employment Medical Examination Fee Act

7. Seasonal Farm Labor Act

8. Wage Payment and Collection Law

9. Industrial Homework Law

10. Construction Industry Employee Verification Act

11. Act 102: Prohibition on Excessive Overtime in Healthcare

12. Apprenticeship and Training Act

13. Inspection of Employment Records Law

B. Pennsylvania law establishes penalties for providing false certifications, including contract termination; and three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531 (Debarment or suspension).

CERTIFICATION

I, the official named below, certify I am duly authorized to execute this certification on behalf of the contractor/grantee identified below, and certify that the contractor/grantee identified below is compliant with applicable Pennsylvania state labor and workplace safety laws, including, but not limited to, those listed in

Paragraph A, above. I understand that I must report any change in the contractor/grantee’s compliance status to the Purchasing Agency immediately. I further confirm and understand that this Certification is subject to the provisions and penalties of 18 Pa. C.S. § 4904 (Unsworn falsification to authorities).

Signature Date

Name (Printed)

Title of Certifying Official (Printed)

Contractor/Grantee Name (Printed)

BOP-2201

Published: 02/04/2022

File details come from the government source that posted it. Updated .