Worker Protection and Investment Certification Form (BOP 2201).pdf
PDF 428 KB Posted
- Attached to
- 12 8500 Medical Case Management SWIF
- Solicitation number
- 6100066211
- Issued by
- Dauphin County, Harveys Lake Borough, Pennsylvania
About this file
Summary
This is a Worker Protection and Investment Certification Form (BOP 2201) issued by the Commonwealth of Pennsylvania in conjunction with an Invitation for Bids from the Department of Labor and Industry's State Workers' Insurance Fund (SWIF) for Field Based Medical Case Management Services. The procurement seeks qualified independent contractors to provide on-demand medical case management services throughout Pennsylvania, coordinating care for injured workers receiving workers' compensation benefits through qualified Registered Nurses. Contractors must provide labor, materials, services, skills, supervision, and necessary equipment to perform field-based case management in compliance with the Pennsylvania Workers' Compensation Act, Title 34 Pa. Code Sections 123.201-123.302, and applicable federal and state regulations including HIPAA privacy requirements. The Commonwealth will award contracts for an initial term not exceeding three years with two successive one-year renewal options at its sole discretion, though contract award does not guarantee work and services may only commence upon issuance of a Notice to Proceed by SWIF.
All contractors and grantees must certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and applicable state labor and workforce safety laws, including the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and eleven additional specified statutes. Contractors must complete and sign the certification form confirming authorized status and compliance, with understanding that false certifications subject them to contract termination, three-year debarment from bidding on Commonwealth contracts under 62 Pa. C.S. § 531, and criminal penalties under 18 Pa. C.S. § 4904 for unsworn falsification to authorities. Contractors must also report any changes in compliance status to the Purchasing Agency immediately.
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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
File details come from the government source that posted it. Updated .