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

DOCX document 32 KB Posted

Attached to
12-7811- OVR - Supplemental Driver IFB
Solicitation number
6100056346
Issued by
Adams County, Pennsylvania

About this file

Written by GovTribe AI ·

This document is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania as part of state and local contract opportunities. The certification form mandates that contractors and grantees of the Commonwealth must comply with various Pennsylvania labor and workplace safety laws, including the Unemployment Compensation Law, Workers' Compensation Law, and other applicable state statutes. Contractors and grantees must certify that they are in full compliance with these laws, and failure to do so may result in contract termination and debarment from future contracts. The certification must be signed by an authorized official and submitted as part of the contract proposal.

The document outlines the specific state labor and workplace safety laws that contractors and grantees must comply with, and it emphasizes the penalties for providing false certifications, including contract termination and three-year ineligibility to bid on future contracts. The certification is subject to the provisions and penalties of Pennsylvania's Unsworn Falsification to Authorities statute.

View the file

Other files

File Type Posted
How To Obtain a Criminal Background Check.pdf PDF
Addendum 2.doc DOC document
1. Statement of Work.pdf PDF
5. Appendix C Cell Phone Contact Information.xlsx XLSX spreadsheet
9. Appendix G - Driver Invoice.pdf PDF
Small and Small Diverse Business Owner Information L&I.doc DOC document
6. Appendix D Business Associate Addendum (HIPPA).doc DOC document
3. Appendix A - Informational Cover Sheet.pdf PDF
10. Appendix H - Instructions for Driver Invoice and Expense Log.pdf PDF
11. Appendix I - OVR Guidelines.pdf PDF
7. Appendix E Price Sheet.xlsx XLSX spreadsheet
4. Appendix B - PA Dept of Transportation Driving History Request.pdf PDF
New Vendor Registration Guide.pdf PDF
How To - Locate and Respond to Solicitations.pdf PDF
8. Appendix F - OVR Driver Expense Log.pdf PDF
2. Terms and Conditions.pdf PDF
Electronic Bidding Procedures.docx DOCX document
Show all 17

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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 .