BOP-2201 EO 2021-06 Worker Protection Form BOP FINAL.pdf
PDF 162 KB Posted
- Attached to
- PennDOT Salt Brine Tanks
- Solicitation number
- 6100066160
- Issued by
- Clearfield County, Dauphin County, Claysville Borough, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania pursuant to Executive Order 2021-06, applicable to all contractors and grantees conducting business with Pennsylvania state agencies, including PennDOT. The certification requires contractors to confirm compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and thirteen specific state labor and workforce safety laws. These mandated compliance areas include the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and the Inspection of Employment Records Law, among others. The form must be signed by an authorized official of the contractor or grantee and submitted as part of the contract application process.
Contractors who execute false certifications face substantial penalties, including contract termination and a three-year debarment or suspension from bidding on future Pennsylvania contracts under 62 Pa.C.S. § 531. Certifying officials acknowledge that they must immediately report any changes in the contractor's compliance status to the purchasing agency and understand that the certification is subject to the provisions of 18 Pa.C.S. § 4904 regarding unsworn falsification to authorities. The form was published on February 4, 2022, and serves as a mandatory compliance document for the PennDOT Salt Brine Tanks procurement, which involves the delivery of seventeen salt brine storage tanks to two Pennsylvania locations within sixty days of purchase order receipt.
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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: 02/04/2022
| WORKER PROTECTION AND INVESTMENT CERTIFICATION FORM |
| CERTIFICATION |
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