Worker Protection and Investment Cert Form.docx
DOCX document 32 KB Posted
- Attached to
- 12 UCSC Erie Window Caulking
- Solicitation number
- 6100064562
- Issued by
- Erie County, Pennsylvania
About this file
This document is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania under Executive Order 2021-06. The certification requires contractors and grantees to affirm compliance with various Pennsylvania state labor and workforce safety laws, including statutes related to workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, employment verification, and industry-specific workforce regulations.
The certification form mandates that contractors formally attest to their adherence to 13 specific labor laws and workplace safety standards. Failure to comply carries significant penalties, including potential contract termination and a three-year prohibition from bidding on Commonwealth contracts. The document provides a formal certification section where an authorized company representative must sign, print their name and title, and confirm ongoing compliance with state labor regulations, with an explicit requirement to immediately report any changes in compliance status to the purchasing agency.
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Other files
| File | Type | Posted |
|---|---|---|
| Prevailing Wage Determination.pdf | ||
| Erie UCSC Caulking Statement of Work.docx | DOCX document | |
| Terms and Conditions.pdf | ||
| Proof of Site Visit Blank.docx | DOCX document |
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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: 02/04/2022 image1.png
File details come from the government source that posted it. Updated .