05 Worker Protection Form.docx
DOCX document 32 KB Posted
- Attached to
- Clarion Snow Removal
- Solicitation number
- 6100061000
- Issued by
- Clearfield County, Claysville Borough, Pennsylvania
About this file
This document is a Worker Protection and Investment Certification Form required for a state and local contract opportunity related to snow removal and deicing services at Troop C located in Clarion, Pennsylvania. The contract requires the selected vendor to provide snow removal and application of granular deicing material in designated areas in compliance with the bid specifications. Interested vendors must submit all questions in writing by May 7, 2024 and submit bids electronically through the PA Supplier Portal. Bidders must complete the cost matrix, attach a signed Proof of Visit Form, and include the Worker Protection and Investment Certification Form with their bid submission. The contract will be awarded to the successful bidder, and only electronic bid responses will be accepted.
The Worker Protection and Investment Certification Form requires the contractor or grantee to certify compliance with various Pennsylvania state labor and workplace safety laws, including the Unemployment Compensation Law, Workers' Compensation Law, and other applicable state labor and workforce safety statutes. Providing false certifications can result in contract termination and a three-year ineligibility period to bid on Commonwealth contracts.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 01 BId Specifications - Snow.docx | DOCX document | |
| 02 Snow Removal Cost Matrix.xlsx | XLSX spreadsheet | |
| 03 Site Visit Form.doc | DOC document | |
| 04 Terms & Conditions.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 .