04. BOP-2201 WORKER PROTECTION AND INVESTMENT CERTIFICATION FORM.pdf

This document is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania under Executive Order 2021-06. The form requires contractors and grantees to certify compliance with Pennsylvania's labor and workforce safety laws, including 13 specific statutes covering areas such as workplace classification, child labor, minimum wage, equal pay, employment medical examination, seasonal farm labor, and apprenticeship regulations.

The certification mandates that contractors affirm they are compliant with all applicable Pennsylvania state labor and workforce safety laws. Failure to comply can result in significant penalties, including contract termination and a three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531. The form requires an authorized official to sign and confirm ongoing compliance, with an understanding that any changes in compliance status must be immediately reported to the purchasing agency. The document is part of Pennsylvania's efforts to ensure worker protections and safe working environments across the state.