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 form outlines significant legal requirements for contractors, specifically noting that Pennsylvania law 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 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 spaces for signature, printed name, title, and contractor/grantee name, and was published on 02/04/2022.