Worker Protection and Investment Cert Form (BOP 2201).pdf

PDF 88 KB Posted

Attached to
2024 Reorder – PA Lottery Scratcher Keychains
Solicitation number
6100061643
Issued by
Dauphin County, Luzerne County, Philadelphia County, Philadelphia City, Wolfdale CDP, Pennsylvania

About this file

This document is a Worker Protection and Investment Certification Form that must be completed by contractors and grantees of the Commonwealth of Pennsylvania. It outlines the requirement for compliance with various Pennsylvania state labor and workplace safety laws, including the Construction Workplace Misclassification Act, Minimum Wage Act, Prevailing Wage Act, and others. The certification form must be signed by an authorized representative of the contractor or grantee, attesting to their compliance with these laws. Failure to provide accurate certification may result in contract termination and three-year ineligibility to bid on Commonwealth contracts.

The related state and local contract opportunity is for the procurement of keychain scratchers for the Pennsylvania Lottery. The solicitation includes terms and conditions, commercial print specifications, the Worker Protection and Investment Certification Form, a Russia Belarus Certification Form, and a Reciprocal Limitations form. All bids must be submitted electronically, and the awarded supplier will be responsible for any shipping or delivery costs, as the items will be delivered F.O.B. Destination to various drop ship locations.

View the file

Other files

File Type Posted
Terms and Conditions.pdf PDF
Russia Belarus Certification (BOP 2401).docx DOCX document
Specification Sheet.pdf PDF
Reciprocal Limitations Act Requirements (GSPUR89).pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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

File details come from the government source that posted it. Updated .