EO Worker Protection Form.docx
DOCX document 36 KB Posted
- Attached to
- DOC - Tools & Shadow Tool Box
- Solicitation number
- 6100066295
- Issued by
- Indiana County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania in compliance with Executive Order 2021-06, applicable to all contractors and grantees working with the state. The form requires certified officials to attest that their organizations comply with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and thirteen specific state labor and workforce safety laws, including provisions addressing workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, employment medical examination fees, seasonal farm labor, wage collection, industrial homework, construction industry employee verification, healthcare overtime limitations, apprenticeship and training, and employment records inspection. The certification must be executed by an official with proper authorization to bind the contractor or grantee.
Contractors and grantees must understand that false certifications carry significant penalties under Pennsylvania law, including immediate contract termination and three-year ineligibility to bid on state contracts pursuant to 62 Pa. C.S. § 531. Additionally, any misrepresentation is subject to penalties under 18 Pa. C.S. § 4904 regarding unsworn falsification to authorities. Certifying officials are required to report any changes in their organization's compliance status to the purchasing agency immediately upon discovery. This form was published February 7, 2022, and serves as a mandatory compliance document for the Department of Corrections' procurement of tools and tool shadow boxes for Correctional Industries at the Huntingdon facility, with electronic bid submission required through the Pennsylvania Supplier Portal.
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Other files
| File | Type | Posted |
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| 1171-03138 Micro Tool Kit Assembly - 728 tools.xlsx | XLSX spreadsheet | |
| Statement of Work.pdf | ||
| EO Worker Protection Agency Notice.docx | DOCX document | |
| Locating and Responding to a Solicitation.pdf | ||
| Terms and Conditions.pdf | ||
| Electronic Bid Response.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: 02/07/2022 image1.png
File details come from the government source that posted it. Updated .