EO Worker Protection Form.docx
DOCX document 36 KB Posted
- Attached to
- DOC Wireless Bridges
- Solicitation number
- 6100066813
- Issued by
- Cumberland County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania, Department of Corrections, requiring contractor compliance with state labor and workforce safety laws. The certification mandates that all contractors and grantees comply with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and applicable state labor regulations, including provisions addressing workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, employment medical examinations, seasonal farm labor, wage payment, industrial homework, construction industry employee verification, healthcare overtime limitations, apprenticeship and training, and employment record inspections. The form requires an authorized official to certify the contractor's compliance status and obligates the contractor to immediately report any changes in compliance to the purchasing agency.
The certification is subject to significant penalties for false statements, including contract termination and a three-year debarment from bidding on future Commonwealth contracts under 62 Pa.C.S. § 531. Contractors are also subject to criminal penalties under 18 Pa.C.S. § 4904 for unsworn falsification to authorities. This form applies to the DOC Wireless Bridges procurement, which seeks ninety-three Silex SX BR 4600WAN2 Wireless Bridge units to support medical video conferencing expansion at State Correctional Institutions in Mechanicsburg, Pennsylvania, with electronic bid submission required through the Pennsylvania Supplier Portal.
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Other files
| File | Type | Posted |
|---|---|---|
| Statement of Work.docx | DOCX document | |
| Locating and Responding to a Solicitation.pdf | ||
| EO Worker Protection Agency Notice.docx | DOCX document | |
| Terms and Conditions.pdf | ||
| Blank Reciprocal Limitations Act Form.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 .