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, related to Executive Order 2021-06. The form requires contractors and grantees to certify compliance with Pennsylvania's labor and workplace safety laws. Specifically, the document lists 13 different labor-related acts 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 others.

The certification form establishes that Pennsylvania law mandates 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 form requires an authorized official to certify that the contractor/grantee is compliant with all applicable Pennsylvania state labor and workplace safety laws. The official must also commit to immediately reporting any changes in compliance status to the purchasing agency and understand that false certification is subject to the provisions and penalties of 18 Pa. C.S. § 4904 (Unsworn falsification to authorities).