04. Worker Protection and Investment Form.docx
DOCX document 32 KB Posted
- Attached to
- BID FD3 UTV Herbicide Sprayer
- Solicitation number
- 6100065143
- Issued by
- Philadelphia County, Blawnox Borough, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania for contractors and grantees bidding on state contracts, specifically applicable to the Pennsylvania Department of Conservation and Natural Resources' procurement for a UTV Herbicide Sprayer for Tuscarora State Forest. The form establishes that all contractors must certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and applicable state labor and workforce safety laws, including but not limited to the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and multiple other labor statutes. A duly authorized official of the contractor or grantee must execute the certification, confirming the entity's compliance status and understanding that any changes in compliance must be reported immediately to the purchasing agency.
The certification is binding and subject to penalties under Pennsylvania law, including potential contract termination and three-year ineligibility to bid on future state contracts under 62 Pa. C.S. § 531, as well as criminal penalties for false certification under 18 Pa. C.S. § 4904. The form requires the certifying official's signature, printed name, title, date of execution, and the contractor or grantee name. This form was published on February 4, 2022, and represents a mandatory compliance requirement for all entities seeking to contract with the Commonwealth of Pennsylvania.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 03. Reciprocal Limitations Act Reqirements Form.docx | DOCX document | |
| 01. Terms and Conditions.pdf | ||
| 02. Statement of Work.pdf | ||
| 05. DCNR Small Business Procurement Initiative.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
WORKER PROTECTION AND INVESTMENT CERTIFICATION FORM
A. Pursuant to Executive Order 2021-06, Worker Protection and Investment (October 21, 2021), the Commonwealth is responsible for ensuring that every worker in Pennsylvania has a safe and healthy work environment and the protections afforded them through labor laws. To that end, contractors and grantees of the Commonwealth must certify that they are in compliance with Pennsylvania’s Unemployment Compensation Law, Workers’ Compensation Law, and all applicable Pennsylvania state labor and workforce safety laws including, but not limited to:
1. Construction Workplace Misclassification Act
2. Employment of Minors Child Labor Act
3. Minimum Wage Act
4. Prevailing Wage Act
5. Equal Pay Law
6. Employer to Pay Employment Medical Examination Fee Act
7. Seasonal Farm Labor Act
8. Wage Payment and Collection Law
9. Industrial Homework Law
10. Construction Industry Employee Verification Act
11. Act 102: Prohibition on Excessive Overtime in Healthcare
12. Apprenticeship and Training Act
13. Inspection of Employment Records Law
B. Pennsylvania law establishes penalties for providing false certifications, including contract termination; and three-year ineligibility to bid on contracts under 62 Pa. C.S. § 531 (Debarment or suspension).
CERTIFICATION
I, the official named below, certify I am duly authorized to execute this certification on behalf of the contractor/grantee identified below, and certify that the contractor/grantee identified below is compliant with applicable Pennsylvania state labor and workplace safety laws, including, but not limited to, those listed in Paragraph A, above. I understand that I must report any change in the contractor/grantee’s compliance status to the Purchasing Agency immediately. I further confirm and understand that this Certification is subject to the provisions and penalties of 18 Pa. C.S. § 4904 (Unsworn falsification to authorities).
| Signature |
| Date |
Name (Printed)
Title of Certifying Official (Printed)
Contractor/Grantee Name (Printed)
BOP-2201
Published: 02/04/2022 image1.png
File details come from the government source that posted it. Updated .