ATTACHMENT #4 - BOP-2201 Worker Protection and Investment Certification Form.pdf
PDF 73 KB Posted
- Attached to
- PLCB SHOPPING CARTS
- Solicitation number
- 275417
- Issued by
- Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form issued by the Pennsylvania Department of General Services, Public Works, applicable to the Pennsylvania Liquor Control Board (PLCB) Shopping Carts contract opportunity. The certification requires all contractors to confirm compliance with Pennsylvania 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, Employer to Pay Employment Medical Examination Fee Act, Seasonal Farm Labor Act, Wage Payment and Collection Law, Industrial Homework Law, Construction Industry Employee Verification Act, Act 102 regarding excessive overtime in healthcare, Apprenticeship and Training Act, and Inspection of Employment Records Law. The form must be executed by an authorized official of the firm who certifies understanding of the requirements and the firm's full compliance with all applicable labor and workplace safety statutes.
The certification is binding and subject to penalties for false statements, including civil penalties, contract termination, and three-year ineligibility to bid on Commonwealth contracts under 62 Pa. C.S. § 531. Contractors must report any changes in compliance status to DGS Public Works immediately and understand that false certification constitutes unsworn falsification to authorities under 18 Pa. C.S. § 4904. The form requires the contractor's signature, date, printed name, firm name, and DGS Project Number. This certification applies to the PLCB's procurement of 360 shopping carts annually for use across its network of over 575 Fine Wine & Good Spirits Stores.
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Text version
Department of General Service, Public Works
Published: 02/08/2022
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 of the Commonwealth must certify that they are in compliance with 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 civil penalties; 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 have read and understand this Worker Protection and Certification Form and I am duly authorized to execute this certification on behalf of the firm identified below, and the firm identified below is compliant with all 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 firm’s compliance status to the DGS
Public Works 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)
Firm Name (Printed)
DGS Project Number
File details come from the government source that posted it. Updated .