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

DOCX document 32 KB Posted

Attached to
1100-72074 DOC BFSSO 3/Trailers 2026
Solicitation number
6100066224
Issued by
Cumberland County, Pennsylvania

About this file

This is a Worker Protection and Investment Certification Form required by the Pennsylvania Commonwealth for contractors and grantees bidding on state and local contracts, specifically applicable to the Pennsylvania Department of Correction's Bureau of Facility Security and Safety Operations solicitation for three enclosed mobile trailers. The form mandates that all contractors certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and applicable state labor and workforce safety laws, including provisions related to construction workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, employment medical examinations, seasonal farm labor, wage payment and collection, industrial homework, construction industry employee verification, healthcare overtime restrictions, apprenticeship and training, and employment records inspection. The certifying official must be duly authorized to execute the certification on behalf of the contractor or grantee and must confirm understanding that any changes in compliance status must be reported immediately to the purchasing agency.

Falsification of this certification subjects contractors to significant penalties under Pennsylvania law, including contract termination and three-year ineligibility to bid on future Commonwealth contracts under 62 Pa. C.S. § 531, as well as criminal penalties under 18 Pa. C.S. § 4904 for unsworn falsification to authorities. The form requires the signature, printed name, and title of the certifying official, along with the contractor or grantee name, and serves as a prerequisite compliance document for participation in the trailer procurement opportunity through the PA Supplier Portal.

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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 image1.png

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