Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23WHM SGL50 Admin Shooting Range
- Solicitation number
- 6100065672
- Issued by
- Tioga County, Pennsylvania
About this file
This Worker Protection and Investment Certification Form is required by the Commonwealth of Pennsylvania for all contractors and grantees working on state contracts, including those with the Pennsylvania Game Commission. The form mandates contractor compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and thirteen specific state labor and workforce safety laws covering areas such as workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, wage payment and collection, and apprenticeship requirements. A duly authorized official must execute the certification, confirming the contractor's compliance status and acknowledging an obligation to report any changes in compliance to the purchasing agency immediately. The certification is subject to penalties under Pennsylvania law, including contract termination and three-year ineligibility to bid on future state contracts under 62 Pa. C.S. § 531, as well as criminal penalties under 18 Pa. C.S. § 4904 for unsworn falsification to authorities.
This certification requirement applies to the Pennsylvania Game Commission's solicitation for a new Administration Shooting Range on State Game Land 050, which involves construction of a new backstop, side berm, steel target line, and related earthwork. Electronic bids for the general construction contract will be opened on April 9, 2026 at 2:00 PM at the Division of Contracts and Procurement in Harrisburg, Pennsylvania. Bidders should direct technical questions regarding project specifications to Zachary Whitenight at the PGC Engineering Division via phone or email. All project quantities are estimated, and bids must be submitted in dollars and cents with no fractional cents accepted.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Bid Notice-SGL-050.doc | DOC document | |
| 050-25-01 Admin Range maps & drawings.pdf | ||
| ReciprocalLimitationsAct (materials bid).pdf | ||
| SGL 050 Admin Range Technical Specifications.pdf | ||
| Terms and Conditions.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 .