04. Worker Protection and Investment Form.docx
DOCX document 32 KB Posted
- Attached to
- DCNR Forestry Ops & Rec Dump Truck Rental
- Solicitation number
- 6100065060
- Issued by
- Columbia County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania for contractors and grantees working with the Department of Conservation and Natural Resources (DCNR), Bureau of Forestry. The form establishes mandatory compliance requirements with Pennsylvania's labor and workforce safety laws as mandated by Executive Order 2021-06. Contractors must certify compliance with thirteen specific Pennsylvania statutes and regulations, including the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, Wage Payment and Collection Law, and the Construction Industry Employee Verification Act, among others. The certification must be executed by an authorized official of the contracting entity and submitted to the Commonwealth's Purchasing Agency.
The form requires certifying officials to confirm their authority to execute the certification on behalf of their organization and to attest that the contractor or grantee maintains compliance with all applicable Pennsylvania state labor and workplace safety laws. Contractors must also report any changes in compliance status to the Purchasing Agency immediately upon occurrence. False certifications carry significant penalties, including contract termination and three-year ineligibility to bid on Commonwealth contracts under 62 Pa. C.S. 531, as well as prosecution under 18 Pa. C.S. 4904 for unsworn falsification to authorities. This certification is a prerequisite requirement for the DCNR Forestry Operations and Recreation dump truck rental opportunity.
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| 01. Terms and Conditions.pdf |
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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 .