Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23SW SGL 158 Joe Willy's Rd
- Solicitation number
- 6100064170
- Issued by
- Carbon County, Harveys Lake Borough, Pennsylvania
About this file
The Worker Protection and Investment Certification Form is an official document issued by the Commonwealth of Pennsylvania, designed to ensure contractors and grantees comply with state labor and workforce safety laws. The form requires businesses to certify their adherence to 13 specific labor regulations, including the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, and Prevailing Wage Act, among others.
The certification carries significant legal implications, with potential penalties for false declarations including contract termination and a three-year prohibition from bidding on Commonwealth contracts. Contractors must sign and confirm their compliance, acknowledging that they understand the requirements and are obligated to immediately report any changes in their compliance status. The document is part of Pennsylvania's broader worker protection initiative under Executive Order 2021-06, which aims to safeguard worker rights and maintain high standards of labor practices across state-funded projects and contracts.
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| File | Type | Posted |
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| Terms and conditions.pdf | ||
| GSPUR-89 Reciprocal_Limitations_Act_Reqirements.docx | DOCX document | |
| Contracts Federal Boilerplate Language Exhibit A 07_24_2015 (002).docx | DOCX document | |
| SGL 158 Joe Willys Road_Bid Notice.pdf | ||
| SGL 158 Joe Willys Road_Specifications and Details_FINAL.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 .