Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23NC SGL338 School Road Improvement
- Solicitation number
- 6100064996
- Issued by
- Fayette County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania for contractors and grantees bidding on state contracts, as referenced in Executive Order 2021-06 (October 21, 2021). The form applies to the Pennsylvania Game Commission's Northcentral Region project to maintain approximately 7,034 feet of administrative road on State Game Land 338 in Elk County. The project requires the contractor to furnish all labor, superintendence, tools, equipment, aggregates, cross-pipes, and seed necessary for road improvement activities. The scope of work is detailed in Attachments 1-7, and the project is being bid as a single contract. All Purchase Orders require the contractor to provide equipment, materials, labor, insurance, and miscellaneous expenses to complete the operation.
The certification form mandates that contractors and grantees confirm compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and all applicable state labor and workforce safety laws, including the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and eleven other specified statutes. A duly authorized official of the contractor must execute the certification under penalty of perjury, certifying the contractor's compliance status. The Commonwealth reserves the right to terminate contracts and debar contractors for three years from bidding on state contracts for providing false certifications under 62 Pa. C.S. 531. Contractors must also report any changes in compliance status to the Purchasing Agency immediately upon discovery.
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Other files
| File | Type | Posted |
|---|---|---|
| BID NOTICE SGL 338 School Road Improvement.docx | DOCX document | |
| GSPUR-89 Reciprocal_Limitations_Act_Reqirements.docx | DOCX document | |
| Terms and conditions.pdf | ||
| Combined Specifications - SGL 338 School Road Improvement.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 .