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, dated October 21, 2021. The form requires contractors and grantees to certify compliance with Pennsylvania's labor laws and workforce safety regulations. It lists 13 specific labor and employment laws that contractors must adhere to, 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 workplace standards.

The form outlines Pennsylvania's legal requirements for contractors, specifically noting that providing false certifications can result in contract termination and a three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531 (Debarment or suspension). The certification requires an authorized official to confirm the contractor/grantee's compliance with all applicable state labor and workplace safety laws, with an understanding that any changes in compliance status must be immediately reported to the purchasing agency. The document includes blank fields for signature, name, title, and contractor/grantee information, and was published on 02/04/2022.