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

This is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania pursuant to Executive Order 2021-06, effective October 21, 2021. The form serves as a certification mechanism requiring contractors and grantees of the Commonwealth to verify compliance with Pennsylvania's labor and workforce safety laws. The certification applies to all workers employed on Commonwealth-funded projects and requires official authorization to execute the certification on behalf of the contractor or grantee identified in the contract.

The form mandates compliance with thirteen specific Pennsylvania labor and workforce safety laws, including the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, Employer to Pay Employment Medical Examination Fee Act, Seasonal Farm Labor Act, Wage Payment and Collection Law, Industrial Homework Law, Construction Industry Employee Verification Act, Act 102 regarding excessive overtime in healthcare, Apprenticeship and Training Act, and Inspection of Employment Records Law. Signatories must certify accurate compliance status and acknowledge that false certifications result in penalties under Pennsylvania law, including contract termination and three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531. The form requires signature, date, printed name, title of certifying official, and contractor or grantee name, and was published on February 4, 2022.