10-Worker Protection and Investment Certificate Form.pdf
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- Solicitation number
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- Montgomery County, Pennsylvania
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This is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania for contractors and grantees bidding on the Sumneytown Pike (SR 0063) Signal System Upgrade project in Towamencin Township, Montgomery County. The certification form establishes compliance requirements with Pennsylvania's labor and workforce safety laws, including the Unemployment Compensation Law, Workers' Compensation Law, Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and multiple other statutory requirements. Sealed proposals for this signal system upgrade project will be accepted until 10:00 a.m. on December 18, 2025, via PennBid. Bidders must submit all proposals with a bid bond or certified check equal to 10% of the total bid amount. Questions regarding the project must be submitted through PennBid by December 15, 2025, at 5:00 p.m. All bidders and subcontractors are required to be PennDOT prequalified and must establish proof of competency and responsibility in accordance with 67 PA Code Chapter 457 and PennDOT Form 408/2020. No bid may be withdrawn within sixty days after opening.
Bidders must comply with the Pennsylvania Prevailing Wage Act and submit the names and references of all subcontractors to be used on the project. The certification form carries significant penalties for false statements, including contract termination and three-year ineligibility to bid on Commonwealth contracts under 62 Pa. C.S. § 531. Certifying officials must understand that the certification is subject to the provisions and penalties of 18 Pa. C.S. § 4904 regarding unsworn falsification to authorities. Certifying officials must also report any changes in the contractor's or grantee's compliance status to the purchasing agency immediately upon discovery.
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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: 02/07/2022
File details come from the government source that posted it. Updated .