BOP-2201 EO 2021-06 Worker Protection Form BOP 02072022 FINAL.docx

DOCX document 32 KB Posted

Attached to
Sewer Crawler Camera System
Solicitation number
6100060924
Issued by
Lebanon County, Pennsylvania

About this file

This document is a Worker Protection and Investment Certification Form related to a state and local contract opportunity for a Sewer Crawler Camera System issued by the Pennsylvania Department of Military & Veterans Affairs (DMVA) for Fort Indiantown Gap.

The invitation for bid includes the following key details: the requirement for contractors and grantees to certify compliance with Pennsylvania's labor and workforce safety laws, the consequences for providing false certifications, and the specific documents required for submission, including the Invitation for Bid, Worker Protection form, Contractor Information Sheet, Reciprocal Limitations, Sewer Crawler Camera System Scope of Work and Price Sheet, and Terms and Conditions. Bids must be submitted electronically via the PA Supplier Portal no later than 10:00 AM on April 22, 2024, and the Department reserves the right to reject any and all bids. The contract opportunity is specific to Lebanon County, Pennsylvania.

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Other files

File Type Posted
GSPUR89 Reciprocal Limitations Act.doc DOC document
Sewer Crawler Camera System Price Sheet Quote.docx DOCX document
Sewer Crawler Camera System SOW 04 04 2024.docx DOCX document
CONTRACTOR INFORMATION SHEET.doc DOC document
Camera Change Flyer 04 19 24.pdf 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: 02/07/2022 image1.png

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