Attachment C - Worker Protection Form BOP FINAL.pdf
PDF 161 KB Posted
- Attached to
- PennDOT District 6 Snowplow Simulator
- Solicitation number
- 6100066309
- Issued by
- Dauphin County, Montgomery County, Harveys Lake Borough, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania for contractors and grantees bidding on state contracts, specifically related to the Pennsylvania Department of Transportation's procurement of a Truck Driver Training Simulator for PennDOT District 6. The form mandates that all contractors certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and all applicable state labor and workforce safety laws, including but not limited to the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and multiple other regulatory requirements. Contractors must submit this certification signed by an authorized official prior to contract award, acknowledging their compliance status and understanding that any changes in compliance must be reported immediately to the purchasing agency.
The Commonwealth imposes significant penalties for false certifications, including contract termination and three-year ineligibility to bid on future state contracts under Pennsylvania's debarment and suspension statutes. Certifying officials are subject to penalties under Pennsylvania's unsworn falsification to authorities statute. The form requires the printed name, title, and signature of the duly authorized certifying official, along with the contractor or grantee name, and serves as a binding legal document affirming the contractor's adherence to Pennsylvania's comprehensive labor protection framework established under Executive Order 2021-06.
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Other files
| File | Type | Posted |
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| Attachment A - Statment of Work Final.pdf | ||
| Attachment F - OS-501.pdf | ||
| Attachment B - IT_Terms_and_Conditions.pdf | ||
| Attachment G - PDAA Assessment Template.docx | DOCX document | |
| General Information.pdf | ||
| Attachment E Software Services License Requirements Agreement.docx | DOCX document | |
| Attachment D - Reciprocal_Limitations.pdf |
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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
| WORKER PROTECTION AND INVESTMENT CERTIFICATION FORM |
| CERTIFICATION |
File details come from the government source that posted it. Updated .