Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23NW LMG 1 Seed Mixes
- Solicitation number
- 6100063415
- Issued by
- Butler County, Pennsylvania
About this file
The Worker Protection Form is a certification document issued by the Commonwealth of Pennsylvania, specifically addressing worker protection and investment requirements under Executive Order 2021-06. The form mandates that contractors and grantees certify compliance with numerous Pennsylvania state labor and workforce safety laws, including regulations related to workplace misclassification, employment of minors, minimum wage, prevailing wage, equal pay, and various industry-specific labor protections. The certification requires authorized officials to affirm their organization's adherence to these legal standards and understand potential penalties for false declarations.
The document outlines significant legal consequences for non-compliance, including contract termination and a three-year prohibition on bidding for state contracts under debarment provisions. Contractors must proactively report any changes in their compliance status to the purchasing agency and acknowledge that false certifications are subject to legal penalties under Pennsylvania's unsworn falsification statutes. The form serves as a critical mechanism for ensuring workplace safety, fair labor practices, and legal accountability among contractors and grantees doing business with the Commonwealth of Pennsylvania.
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| Terms and Conditions.pdf | ||
| Seed Specs.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 .