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 as part of 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. Importantly, the document notes that Pennsylvania law establishes penalties for providing false certifications, including potential 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 compliance, with an understanding that any changes in compliance status must be immediately reported to the purchasing agency, and that making a false certification is subject to the provisions and penalties of 18 Pa. C.S. § 4904 (Unsworn falsification to authorities).