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

The 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 Pennsylvania's labor and workforce safety laws, including 13 specific acts ranging from the Construction Workplace Misclassification Act to the Apprenticeship and Training Act. The form is designed to ensure that every worker in Pennsylvania has a safe and healthy work environment, with contractors required to demonstrate adherence to state labor regulations.

Pennsylvania law establishes significant penalties for non-compliance, including potential contract termination and a three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531. The certification requires an authorized official to confirm the contractor/grantee's compliance with all listed labor and workplace safety laws, with an understanding that any changes in compliance status must be reported immediately. The form also subjects the certifying party to potential prosecution under 18 Pa. C.S. § 4904 for unsworn falsification to authorities, emphasizing the serious legal implications of the certification process.