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, 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, Prevailing Wage Act, and Equal Pay Law.

The certification mandates that contractors attest to their compliance with applicable Pennsylvania state labor and workplace safety regulations, with acknowledgment of potential penalties for false certifications, including contract termination and a three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531. The form requires an authorized official's signature, name, title, and contractor/grantee information, emphasizing the Commonwealth's commitment to ensuring safe and healthy work environments for workers in Pennsylvania through rigorous legal compliance and enforcement mechanisms.