05 Worker Protection Form.docx
DOCX document 32 KB Posted
- Attached to
- Girard Lawn Maintenance
- Solicitation number
- 6100061025
- Issued by
- Erie County, Gibraltar CDP, Pennsylvania
About this file
This document is a Worker Protection and Investment Certification Form required for contractors and grantees of the Commonwealth of Pennsylvania. It certifies that the contractor/grantee is compliant with various Pennsylvania state labor and workplace safety laws, including the Construction Workplace Misclassification Act, Minimum Wage Act, Prevailing Wage Act, and others. Failure to provide accurate certification can result in contract termination and three-year ineligibility to bid on state contracts.
The related state and local contract opportunity is for lawn care maintenance services at Troop E, Girard in Pennsylvania. Questions must be submitted by May 7, 2024, and bids must be submitted through the PA Supplier Portal. Bidders must complete a cost matrix, a Proof of Visit Form signed by the Station Commander, and the Worker Protection Certification Form, and attach them with their bid submission. Only electronic bid responses will be accepted.
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Other files
| File | Type | Posted |
|---|---|---|
| 02 Lawn Care Cost Matrix.xlsx | XLSX spreadsheet | |
| 04 Terms & Conditions.pdf | ||
| 01 Lawn Care Specifications - Girard.docx | DOCX document | |
| 03 Site Visit Form.doc | DOC document |
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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 .