Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23NW Percussion Lane RoaD Project
- Solicitation number
- 6100065509
- Issued by
- Clearfield 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 the 23NW Percussion Lane Road Project with the Pennsylvania Game Commission (PGC), Northwest Region. The project involves construction and maintenance work on State Game Lands 024 in Farmington Township, Clarion County, encompassing approximately 2,702 linear feet of new access road construction across 2 segments and resurfacing work on approximately 5,670 linear feet of existing roadway across 3 segments. An optional site inspection tour is scheduled for 9:00 AM on Monday, March 23, 2026. Bidders must submit electronic bids and direct questions regarding the bidding process to PGC Contracts and Procurement at 717-787-6594, with the Project Manager listed as Dominic Lenzi at 1-833-PGC-WILD.
All bidders must certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and applicable state labor and workforce safety laws, including but not limited to the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and related statutes. The certification must be executed by an official duly authorized to represent the contractor or grantee. False certifications are subject to penalties including contract termination and three-year ineligibility to bid on Commonwealth contracts under 62 Pa. C.S. 531, as well as penalties under 18 Pa. C.S. 4904 for unsworn falsification to authorities. Contractors must immediately report any changes in compliance status to the Purchasing Agency.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Specs and Maps.pdf | ||
| Bid Notice.pdf | ||
| Terms and Conditions.pdf | ||
| ReciprocalLimitationsAct (materials bid).pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .