BOP-2201 EO 2021-06 Worker Protection Form (12).pdf
PDF 80 KB Posted
- Attached to
- 5000-OMHSAS-CSSH PRODUCE OCT-DEC 2026
- Solicitation number
- 6100066304
- 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 all contractors and grantees conducting business with the state. The certification mandates 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 other employment-related statutes. The certifying official must confirm that the contractor or grantee is in full compliance with all applicable Pennsylvania labor and workplace safety regulations and must report any changes in compliance status to the purchasing agency immediately.
Pennsylvania law establishes significant penalties for false certifications, including contract termination and a three-year ineligibility period to bid on future state contracts under 62 Pa. C.S. § 531 (Debarment or suspension). The certification is subject to the penalties outlined in 18 Pa. C.S. § 4904 (Unsworn falsification to authorities). The related contract opportunity pertains to the provision of produce products for the Office of Mental Health and Substance Abuse Services (OMHSAS) covering the period of October through December 2026. The certifying official executing this form must be duly authorized to do so on behalf of the contractor or grantee entity.
View the file
Other files
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: 02/07/2022
File details come from the government source that posted it. Updated .