9-Worker Protection Form.pdf
PDF 87 KB Posted
- Attached to
- 2026-2029 - Lower Makefield Township Facilities Trash & Recyclable Materials Collections & Disposal
- Solicitation number
- Not on record
- Issued by
- Bucks County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania under Executive Order 2021-06, applicable to the Lower Makefield Township Traffic Signal and ADA Improvements project in Bucks County, Pennsylvania. The form mandates that all contractors and grantees certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and thirteen specified state labor and workforce safety laws, including the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and the Construction Industry Employee Verification Act, among others. Sealed proposals for the project must be submitted via PennBID by 10:00 AM on February 23, 2026, with questions due by February 16, 2026, at 5:00 PM. All bidders and subcontractors must be PennDOT pre-qualified contractors and comply with Pennsylvania Prevailing Wage Act determinations. A bid bond or certified check equal to 10% of the total bid is required with submission. No bid may be withdrawn within sixty days following the bid opening.
The certification form requires a duly authorized official to execute the document on behalf of the contractor or grantee, with the signatory understanding that false certifications are subject to contract termination and three-year ineligibility to bid on contracts under Pennsylvania law, as well as penalties under 18 Pa.C.S. § 4904 for unsworn falsification to authorities. Contractors must immediately report any changes in compliance status to the Purchasing Agency. The form was published on February 4, 2022, and serves as a prerequisite certification document that must accompany bid submissions for this Pennsylvania state and local contract opportunity.
View the file
Other files
Show all 21
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
| Name Printed: |
| Name PrintedRow1: |
| Title of Certifying Official PrintedRow1: |
File details come from the government source that posted it. Updated .