Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23WHM SGL37 New Crew HQ BLDG-MECH
- Solicitation number
- 6100065750
- Issued by
- Warren County, Harveys Lake Borough, Pennsylvania
About this file
Summary
This is a Worker Protection Form document associated with a Pennsylvania Game Commission (PGC) construction project for a new Crew Headquarters building. The project involves the design and construction of a new 40' x 100' pole building intended for office space and storage of maintenance implements and tools, including a new parking area and access road. The scope of work encompasses framing, metal siding and roof panel installation, concrete flooring, insulation, interior wall finishes using FRP and metal materials, installation of garage and man doors, windows, and other building appurtenances. Electronic bids will be opened on Friday, April 17, 2026, at 2:00 PM at the Division of Contracts and Procurement office located at 2001 Elmerton Avenue, Harrisburg, Pennsylvania 17110-9797.
The Worker Protection Form serves as a compliance document requiring bidders and contractors to acknowledge and commit to worker safety and protection standards applicable to the project. This form establishes the regulatory framework and expectations for worker safety protocols throughout the construction phase. As part of the bid submission requirements, contractors must complete and submit this form to demonstrate their understanding of and commitment to maintaining appropriate worker protection measures during all phases of the Crew Headquarters building construction project.
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Other files
| File | Type | Posted |
|---|---|---|
| Terms and Conditions.pdf | ||
| GSPUR-89 Reciprocal_Limitations_Act_Reqirements.docx | DOCX document | |
| 2.0 Specifications (4).pdf | ||
| 1.0 Bid Notice -SGL 037 (1).pdf | ||
| 3.0 Drawings (3).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 .