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

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Attached to
Tree Trimming Stump Removal Services
Solicitation number
6100065310
Issued by
Washington County, Pennsylvania

About this file

This is a Worker Protection and Investment Certification Form (BOP 2201) issued by the Commonwealth of Pennsylvania in conjunction with a Tree Trimming Stump Removal Services procurement for PennDOT in Washington County. The certification form requires all contractors and grantees to verify 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, and multiple other statutory requirements. A duly authorized official must execute the certification under penalty of perjury, confirming the contractor's or grantee's compliance status and acknowledging the obligation to immediately report any changes in compliance to the Purchasing Agency.

The certification carries significant penalties for false statements, including contract termination and a three-year ineligibility to bid on Commonwealth contracts under 62 Pa. C.S. 531 (Debarment or Suspension), as well as criminal penalties under 18 Pa. C.S. 4904 (Unsworn Falsification to Authorities). This certification requirement applies to all bidders for the Tree Trimming Stump Removal Services contract; notably, this procurement is restricted to DGS-certified small businesses under Pennsylvania's Small Business Procurement Initiative (Executive Order 2011-09), and all bids must be submitted electronically through the PA Supplier Portal.

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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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