BOP-2201 EO 2021-06 Worker Protection Form (1).pdf

PDF 80 KB Posted

Attached to
CSSH Sludge & Sewer
Solicitation number
6100066776
Issued by
Lackawanna County, Pennsylvania

About this file

This is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania pursuant to Executive Order 2021-06, applicable to the Department of Human Services' solicitation for Sludge Removal and Sewer Line Obstruction Removal Services at Clarks Summit State Hospital. The form establishes mandatory compliance requirements for all contractors and grantees working with the Commonwealth of Pennsylvania. Contractors must certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and thirteen specific 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 Apprenticeship and Training Act, among others. The form requires a duly authorized official to execute the certification on behalf of the contractor or grantee, with the certifying official's signature, printed name, and title required.

The certification carries significant legal consequences for non-compliance. Pennsylvania law establishes penalties for providing false certifications, including immediate contract termination and three-year ineligibility to bid on future Commonwealth contracts under 62 Pa. C.S. § 531 regarding debarment or suspension. Contractors must report any changes in their compliance status to the Purchasing Agency immediately upon occurrence. The certification is subject to the provisions and penalties of 18 Pa. C.S. § 4904 regarding unsworn falsification to authorities. This form was published on February 7, 2022, and serves as a prerequisite document for bid submission on all Commonwealth of Pennsylvania contracts.

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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: 02/07/2022

File details come from the government source that posted it. Updated .