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, dated October 21, 2021. The form requires contractors and grantees to certify compliance with Pennsylvania's labor and workforce safety laws, including 13 specific statutes such as the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, and Prevailing Wage Act.

The certification mandates that contractors affirm they are compliant with all applicable Pennsylvania state labor and workplace safety laws. The document outlines potential penalties for non-compliance, including contract termination and a three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531. The form requires a signature from an authorized official who will confirm the contractor's adherence to these laws and understand the obligation to report any changes in compliance status immediately. The form was published on 02/04/2022 and is designed to ensure worker protections across various employment sectors in Pennsylvania.