Worker Protection Form (9).docx
DOCX document 32 KB Posted
- Attached to
- 23WHM SGL 164 Storage Building General
- Solicitation number
- 6100063467
- Issued by
- Butler County, Pennsylvania
About this file
The Worker Protection Form is a certification document issued by the Commonwealth of Pennsylvania, specifically detailing labor law compliance requirements for contractors and grantees. The document mandates that all contractors certify their adherence to various Pennsylvania state labor and workplace safety laws, including 13 specific statutes ranging from the Construction Workplace Misclassification Act to the Apprenticeship and Training Act.
The certification requires contractors to confirm compliance with labor regulations, with explicit penalties for false certifications, including potential contract termination and a three-year prohibition on bidding for future Commonwealth contracts. Contractors must sign the form, affirming their understanding of labor law requirements and agreeing to immediately report any changes in their compliance status. The form is officially published by the state on 02/07/2022 and is subject to legal provisions that impose penalties for providing false information to authorities.
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Other files
| File | Type | Posted |
|---|---|---|
| Bid Notice.doc | DOC document | |
| Document (50).pdf | ||
| Combined Specifications.pdf | ||
| SGL 164-23-02 Storage Building 40'x60' 2-20-2025.pdf |
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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: 02/07/2022 image1.png
File details come from the government source that posted it. Updated .