06. BOP-2201 EO 2021-06 Worker Protection Form BOP FINAL.docx

DOCX document 32 KB Posted

Attached to
FD12 Naval Run DSA
Solicitation number
6100060881
Issued by
Lycoming County, Pennsylvania

About this file

This document is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania, Executive Order 2021-06. It requires contractors and grantees to certify compliance with applicable Pennsylvania state labor and workplace safety laws, including the Construction Workplace Misclassification Act, Minimum Wage Act, Prevailing Wage Act, and others. The certification must be executed by an authorized official and violating the certification can result in contract termination and debarment.

The related state and local contract opportunity is for the Commonwealth of Pennsylvania, Department of Conservation and Natural Resources (DCNR), Tiadaghton State Forest, to deliver and paver-place approximately 3,645 tons of sandstone and/or limestone Driving Surface Aggregate (DSA) to Naval Run Road in Lycoming County and Brookhaven Borough. No other details about pricing, set asides, funding, or the contracting environment are provided.

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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 .