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

This is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania in accordance with Executive Order 2021-06, dated October 21, 2021. The document requires contractors and grantees to certify compliance with Pennsylvania state labor and workforce safety laws. The form lists 13 specific labor and employment regulations 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 several others related to workplace safety and employment standards.

The form emphasizes Pennsylvania's legal requirements for contractors, specifically noting that the state establishes penalties for providing false certifications, which can include 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 that the contractor/grantee is compliant with all listed labor and workplace safety laws, with an understanding that any changes in compliance status must be reported immediately. The document includes blank fields for signature, name, title, and contractor/grantee information, and was published on 02/04/2022.