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 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 others related to employment practices and worker protections.

The certification mandates that contractors affirm their compliance with applicable Pennsylvania state labor and workplace safety laws. The document outlines potential penalties for providing 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 to sign and confirm the contractor/grantee's adherence to these labor laws, with an understanding that any changes in compliance status must be immediately reported to the purchasing agency, and that the certification is subject to provisions of 18 Pa. C.S. § 4904 regarding unsworn falsification to authorities.