.02 Worker Protection and Investment Certification Form (BOP 2201).pdf

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Attached to
Greene County Uniform Services -
Solicitation number
6100066303
Issued by
Fulton County, Pennsylvania

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This is a Worker Protection and Investment Certification Form (BOP 2201) issued by the Commonwealth of Pennsylvania for use in state and local contract opportunities, including the Greene County Uniform Services procurement for the Pennsylvania Department of Transportation (PennDOT) Engineering District-12-2. The form requires contractors and grantees to certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and all 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 regarding excessive overtime in healthcare, Apprenticeship and Training Act, and Inspection of Employment Records Law.

The certification must be executed by an official duly authorized to bind the contractor or grantee and must include the signatory's name, title, date, and the contractor/grantee name. Pennsylvania law imposes significant penalties for false certifications, including contract termination and three-year ineligibility to bid on commonwealth contracts under 62 Pa. C.S. 531 (Debarment or Suspension). Contractors and grantees must also immediately report any changes in their compliance status to the purchasing agency. The certification is subject to the provisions and penalties of 18 Pa. C.S. 4904 regarding unsworn falsification to authorities.

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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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