Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23WHM Deer Fence Install NC - D
- Solicitation number
- 6100060516
- Issued by
- Lycoming County, Harveys Lake Borough, Pennsylvania
About this file
The document provided is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania for contractors and grantees. It certifies that the contractor/grantee is compliant with various Pennsylvania state labor and workplace safety laws, including the Unemployment Compensation Law, Workers' Compensation Law, and other applicable laws. The form must be signed by an authorized official of the contractor/grantee, and any changes in compliance status must be reported immediately. Providing false certifications could result in contract termination and three-year ineligibility to bid on Commonwealth contracts.
The related state and local contract opportunity is for the installation of woven wire deer exclosure fence by the Pennsylvania Game Commission, Bureau of Wildlife Habitat Management, Forestry Division. The services required include furnishing all labor, superintendence, materials, tools, and equipment necessary for the fence installation. The contract is for work to be performed in Dauphin County and the City of Harrisburg. Administrative inquiries should be directed to the Chief of the Forestry Division.
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Other files
| File | Type | Posted |
|---|---|---|
| GSPUR-89 Reciprocal_Limitations_Act_Reqirements.docx | DOCX document | |
| FY2024 Maps Fence Install NC - D.pdf | ||
| FY2024 Deer Fence Install NC - D.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 .