9-Worker Protection Form.pdf
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- Attached to
- 2026 Street Paving Program
- Solicitation number
- Not on record
- Issued by
- Bucks County, Pennsylvania
About this file
This is a Worker Protection Form document associated with a Traffic Signal Improvements project issued by Solebury Township in Bucks County, Pennsylvania. The project involves traffic signal improvements at various locations within the township. Sealed proposals must be submitted via PennBid (Pennbid.Bonfirehub.com) by 10:00 AM on March 6, 2026, with bid results generated automatically upon opening. Plans and specifications are available at no charge through PennBid. Bidders must submit written questions via PennBID by February 23, 2026 at 5:00 PM. All proposals must include a bid bond or certified check equal to 10% of the total bid amount. No bid may be withdrawn within sixty days after opening while the township reviews qualifications and investigates bidder competency.
All bidders and subcontractors must comply with the Pennsylvania Prevailing Wage Act and obtain PennDOT prequalification in accordance with 67 PA Code Chapter 457 and PennDOT Form 408/2020. Subcontractors must prequalify if listed in the proposal or if they subsequently undertake partial or total construction of work items. The township reserves the right to waive minor informalities, irregularities, or defects in bids or to reject any or all bids. Christopher Garges, Manager of Solebury Township, is the contact for this opportunity.
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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
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