BOP-2201 Worker Protection Form (3).pdf

PDF 75 KB Posted

Attached to
Lackawanna CG Accessories
Solicitation number
6100057629
Issued by
Lackawanna County, Aaronsburg CDP, Pennsylvania

About this file

This document is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania for contractors and grantees. It certifies that the contractor is compliant with various Pennsylvania state labor and workplace safety laws, including the Unemployment Compensation Law, Workers' Compensation Law, and the Construction Workplace Misclassification Act, among others. The certification must be signed by an authorized official and submitted with any bids or proposals for Commonwealth contracts.

The related state and local contract opportunity is for the supply and delivery of equipment to outfit the new Ledges Campground Loop at Lackawanna State Park in Lackawanna County, Pennsylvania. The bid opening has been extended to February 3, 2023 at 10:00 am. An addendum with answers to questions received has been issued.

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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

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