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 ranging from the Construction Workplace Misclassification Act to the Apprenticeship and Training Act.

The certification requires an authorized official to verify that their organization complies with all applicable Pennsylvania state labor and workplace safety laws. By signing the document, the contractor/grantee acknowledges 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 includes provisions for immediate reporting of any changes in compliance status and is subject to the unsworn falsification to authorities statute (18 Pa. C.S. § 4904). The document is designed to ensure worker protections and was published on 02/04/2022.