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

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Attached to
19mm RAP Mix 2026 - PENNDOT Beaver
Solicitation number
6100065323
Issued by
Beaver County, Pennsylvania

About this file

This is a Worker Protection and Investment Certification Form (BOP 2201) required by the Commonwealth of Pennsylvania for contractors and grantees bidding on state contracts, specifically related to a 19mm RAP Mix 2026 procurement for PennDOT Beaver County. Contractors must certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and applicable state labor and workforce safety laws, including regulations covering workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, employment medical examinations, seasonal farm labor, wage payment and collection, industrial homework, construction industry employee verification, healthcare overtime limitations, apprenticeship and training, and employment records inspection. The certification requires an authorized company official to sign and date the form, attesting to the contractor's compliance status and committing to report any changes in compliance immediately to the purchasing agency.

Submission of false certification carries significant penalties under Pennsylvania law, including contract termination and three-year ineligibility to bid on future Commonwealth contracts under 62 Pa.C.S. § 531. Certifications are subject to the provisions and penalties of 18 Pa.C.S. § 4904 (Unsworn Falsification to Authorities). The underlying contract opportunity involves procurement of plant-mixed asphalt product with 19mm RAP material for highway maintenance in Beaver County, with the vendor receiving approximately 11,000 tons of RAP millings delivered to their plant. The solicitation permits subcontracting with Small Diverse Businesses (SDB) and Veteran Business Enterprises (VBE), though no specific goals are established for these categories.

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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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