04. Worker Protection and Investment Form.docx

DOCX document 32 KB Posted

Attached to
BID FD04 Janitorial Services
Solicitation number
6100066453
Issued by
Westmoreland County, Pennsylvania

About this file

This is a Worker Protection and Investment Form document prepared for the Commonwealth of Pennsylvania, Department of Conservation and Natural Resources, Bureau of Forestry, in support of Bid FD04 for janitorial services at the Forbes State Forest District Office located at 1291 Route 30, Laughlintown, PA 15655, Westmoreland County. The form addresses worker protection requirements and investment considerations as they relate to the janitorial services procurement. The document establishes the framework for compliance with prevailing wage standards, worker safety requirements, and labor protection regulations that bidders must adhere to when providing cleaning and maintenance services for the specified state forest facility.

The Worker Protection and Investment Form serves as a compliance instrument to ensure that all bidders understand and commit to meeting established worker protection standards, including prevailing wage obligations, insurance requirements, and safety protocols. This form is a mandatory submission component that bidders must complete and include with their proposals to demonstrate their commitment to maintaining appropriate labor standards and worker protections throughout the contract performance period. The form ensures that the selected contractor will operate in compliance with Pennsylvania labor laws and applicable federal worker protection requirements while delivering janitorial services to the state facility.

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Other files

File Type Posted
03. Attachment A - Facility Overview.pdf PDF
02. Statement of Work.pdf PDF
01. Terms and Conditions.pdf 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 .