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 state labor and workforce safety laws, including 13 specific acts such as the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, and Prevailing Wage Act. The certification is mandatory for contractors bidding on state contracts.

The form outlines significant legal implications for non-compliance, including potential contract termination and a three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531 (Debarment or suspension). The document requires an authorized official to certify the contractor's compliance with applicable labor laws and acknowledge the requirement to report any changes in compliance status immediately. The form includes provisions for potential penalties under 18 Pa. C.S. § 4904 for unsworn falsification to authorities, emphasizing the serious nature of the certification process.