BOP-2201 EO 2021-06 Worker Protection Form BOP FINAL.docx
DOCX document 32 KB Posted
- Attached to
- 35-X200377 Teledyne Air Quality Parts
- Solicitation number
- 6100066608
- Issued by
- Dauphin County, Harveys Lake Borough, Pennsylvania
About this file
This Worker Protection Form is associated with a state and local contract opportunity issued by the Pennsylvania Department of Environmental Protection (DEP), Bureau of Office Services, for the procurement of Teledyne Air Quality Parts. The Department is soliciting price bids for specific items listed in the Invitation for Bid (IFB), with bidders required to supply pricing for all items without exception. The award will be determined based on the lowest grand total price, and only Teledyne Instruments, Inc. products will be accepted; substitution responses are not permitted. Physical delivery is required to the DEP Bureau of Laboratories located at 2575 Interstate Drive, 2nd Floor, Harrisburg, PA 17110-9332, to the attention of Robert Valent.
All bid pricing must be submitted on a FOB destination basis, with shipping and handling costs included in the line item prices; no additional costs will be allowed beyond those stated in the bid. Technical inquiries regarding the specifications should be directed to Robert Valent at 717-439-6939 or rvalent@pa.gov, with email communication being the preferred method of contact. Procedural questions related to the bidding process should be directed to Brian Franklin at 717-787-2471 or brfranklin@pa.gov. The Worker Protection Form itself documents compliance with Executive Order 2021-06 worker protection requirements applicable to this procurement.
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Other files
| File | Type | Posted |
|---|---|---|
| Reciprocal Limitations Act Requirements (GSPUR89).doc | DOC document | |
| 6100066608 Specifications BAQ Parts.Final.V1.docx | DOCX document |
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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 image1.png
File details come from the government source that posted it. Updated .