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 laws and workplace safety regulations. It lists 13 specific labor and workforce safety laws that contractors must adhere to, including the Construction Workplace Misclassification Act, Minimum Wage Act, Equal Pay Law, and several others covering employment practices and worker protections.

The document establishes legal requirements for contractors, including penalties for providing false certifications, which can result in contract termination and a three-year ineligibility to bid on contracts under Pennsylvania law. The form must be signed by an authorized official who certifies the contractor's compliance with all listed labor laws and agrees to immediately report any changes in compliance status to the purchasing agency. The form includes blank spaces for signature, name, title, and contractor/grantee information, and was published on 02/04/2022.