Worker Protection and Investment Certification Form.docx
DOCX document 37 KB Posted
- Attached to
- Fluorescent Reflective Material
- Solicitation number
- 6100066359
- Issued by
- Westmoreland County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania under Executive Order 2021-06, applicable to the procurement of Fluorescent Reflective Material for Pennsylvania Correctional Industries Waymart. The form establishes mandatory compliance certification requirements for all contractors and grantees conducting business with the Commonwealth. Contractors must certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and thirteen specified 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 the Construction Industry Employee Verification Act, among others. A duly authorized official of the bidding contractor must execute the certification, confirming the contractor's compliance status with all applicable Pennsylvania state labor and workplace safety laws.
The certification form requires the executing official to provide their signature, printed name, title, and the contractor/grantee's name. Pennsylvania law establishes significant penalties for false certifications, including contract termination and three-year ineligibility to bid on Commonwealth contracts under 62 Pa. C.S. 531 (Debarment or Suspension). Certifying officials must understand that the certification is subject to the provisions and penalties of 18 Pa. C.S. 4904 (Unsworn Falsification to Authorities). Additionally, contractors must immediately report any changes in their compliance status to the Purchasing Agency. Electronic bid responses are accepted through the PA Supplier Portal, and all bidders must be registered vendors to submit bids for the fluorescent reflective materials solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| Reciprocal Limitations Act Requirements Form.docx | DOCX document | |
| APR 6100066359 Solicitation Addendum 1.docx | DOCX document | |
| Terms and Conditions.pdf | ||
| EO Worker Proctection Order.pdf | ||
| Spec Fluorescent Reflective Material Yellow.pdf | ||
| Spec White Reflective Material White.pdf | ||
| Reflective Material Statement of Work.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 .