6100066531 Workers Protection and Investment Cert Form.docx
DOCX document 32 KB Posted
- Attached to
- Elliot Life Rafts - Erie Maritime Museum
- Solicitation number
- 6100066531
- Issued by
- Erie County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania for contractors and grantees seeking to do business with the state. The form pertains to a Pennsylvania Historical and Museum Commission request for quotes to purchase two Elliot life rafts for installation on the US Brig Niagara at the Erie Maritime Museum in Erie, Pennsylvania. By executing this certification, authorized officials must confirm their organization's compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and all applicable state labor and workforce safety laws, including regulations governing construction workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, employment medical examinations, seasonal farm labor, wage payment and collection, industrial homework, construction industry employee verification, healthcare overtime restrictions, apprenticeship and training, and employment records inspection.
Contractors and grantees must understand that false certifications are subject to significant penalties, including contract termination and a three-year period of ineligibility to bid on Commonwealth contracts under 62 Pa. C.S. 531. Additionally, certifying officials are bound by the provisions of 18 Pa. C.S. 4904 regarding unsworn falsification to authorities. Any changes in compliance status must be reported to the purchasing agency immediately upon discovery. The certification form requires the printed name, title, and signature of the authorized certifying official, along with the contractor or grantee's name and the date of certification.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 6100066531 Reciprocal Limitations Form.docx | DOCX document | |
| 6100066531 Erie Maritime Museum Life Rafts_SOW.pdf | ||
| 6100066531 Terms and 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 .