BOP-2201 Worker Protectionand Investment Form.pdf
PDF 161 KB Posted
- Attached to
- PSP BESO SERT Rifle Systems and Accessories
- Solicitation number
- 6100066424
- Issued by
- Dauphin County, Harveys Lake Borough, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania for contractors and grantees, as mandated by Executive Order 2021-06 (October 21, 2021). The form applies to the Pennsylvania State Police Bureau of Emergency and Special Operations procurement for rifle systems and accessories. Contractors must certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and applicable state labor and workforce safety laws, including but not limited to the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, Employer to Pay Employment Medical Examination Fee Act, Seasonal Farm Labor Act, Wage Payment and Collection Law, Industrial Homework Law, Construction Industry Employee Verification Act, Act 102 on Excessive Overtime in Healthcare, Apprenticeship and Training Act, and Inspection of Employment Records Law. The certification must be executed by an authorized official and submitted with the bid response through the PA Supplier Portal by August 5, 2026 at 11:00 a.m.
Pennsylvania law establishes significant penalties for providing false certifications, including contract termination and three-year ineligibility to bid on Commonwealth contracts under 62 Pa.C.S. 531 (Debarment or Suspension). The certifying official must understand that the certification is subject to provisions and penalties of 18 Pa.C.S. 4904 (Unsworn Falsification to Authorities) and must report any changes in the contractor's compliance status to the Purchasing Agency immediately. The form serves as a mandatory compliance verification mechanism alongside other required submissions, including the Reciprocal Limitations Requirements Act form (GSPUR-89) and all applicable state and federal licensure documentation, all of which must be uploaded electronically through the PA Supplier Portal.
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Other files
| File | Type | Posted |
|---|---|---|
| GSPUR-89 Reciprocal_Limitations_Act_Reqirements.pdf | ||
| 6100066424 Terms and Conditions.pdf | ||
| 6100066424 Bid Specifications.pdf |
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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
| WORKER PROTECTION AND INVESTMENT CERTIFICATION FORM |
| CERTIFICATION |
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