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 regarding Worker Protection and Investment. The form is designed to certify compliance with Pennsylvania's worker protection laws and establishes requirements for contractors and grantees working with the Commonwealth. The certification applies to various Pennsylvania labor laws including the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and other worker protection statutes. The form requires contractors to establish penalties for providing false certifications and includes provisions for contract termination due to non-compliance.

The certification process requires contractors to confirm their compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and all applicable Pennsylvania state labor and workplace safety laws. Penalties for false certification include contract termination and three-year ineligibility to bid on future contracts under 62 Pa. C.S. § 531, with potential suspension and debarment. The form includes signature fields for the contractor's name, certifying official title, and contractor/grantee name, and was published on February 4, 2022, as document BOP-2201. This certification is subject to provisions and penalties outlined in 18 Pa. C.S. § 4904 for unsworn falsification to authorities.