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, pursuant to Executive Order 2021-06. The form requires contractors and grantees to certify compliance with 13 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, and others related to employment practices.

The certification form establishes that Pennsylvania law mandates penalties for providing false certifications, including potential contract termination and a three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531. Contractors/grantees must confirm they are compliant with all listed labor and workplace safety regulations, and they are obligated to immediately report any changes in compliance status to the purchasing agency. The document includes blank fields for signature, name, title, and contractor/grantee information, and was published on 02/04/2022 with a form number of BOP-2201.