Worker Protection Form bid attach.docx
DOCX document 32 KB Posted
- Attached to
- 23WHM Gypsy Insect Suppression
- Solicitation number
- 6100057722
- Issued by
- Lycoming County, Pennsylvania
About this file
The document provided is a Worker Protection and Investment Certification Form that contractors and grantees of the Commonwealth of Pennsylvania must complete to certify compliance with various state labor and workplace safety laws. The form requires the contractor/grantee to acknowledge penalties for providing false certifications, including contract termination and three-year ineligibility to bid on state contracts.
The related state and local contract opportunity is for the aerial application of insecticides over approximately 109,000 acres of forested areas in the Commonwealth of Pennsylvania to prevent defoliation by Gypsy Moth. The contract is being solicited by the Pennsylvania Game Commission and the bid has been extended to February 14, 2023. The contract will cover the application of Tebufenozide insecticide across an estimated 148 spray blocks located in Dauphin County and the City of Harrisburg.
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Other files
| File | Type | Posted |
|---|---|---|
| Contracts Federal Boilerplate Language Exhibit A 07_24_2015.docx | DOCX document | |
| Document (72).pdf | ||
| GMSP23 Bid Package.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 .