Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23NW Three Tims Rd Project
- Solicitation number
- 6100065749
- Issued by
- Erie County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania in conjunction with a contract opportunity for access road maintenance on State Game Lands in Erie County. The Pennsylvania Game Commission is soliciting electronic bids for culvert pipe installations, resurfacing, and related work on approximately 11,135 linear feet of existing access roadway across State Game Lands #154/263 in Wayne Township. Electronic bids will be opened on Tuesday, April 21, 2026, at 2:00 PM at the Division of Contracts and Procurement in Harrisburg, Pennsylvania. An optional site inspection tour is scheduled for 10:00 AM on Tuesday, April 14, 2026, with attendees meeting at the State Game Land 263 parking lot along Hereford Road. Bidders are strongly encouraged to visit the project site to assess existing site conditions including site access, road conditions, topography, utility proximity, existing infrastructure, and vegetation. Questions regarding project specifications should be directed to Brad Holcomb, Wildlife Habitat Group Manager, at 717-805-4931 or bholcomb@pa.gov.
All contractors and grantees must certify 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 other specified statutes. The certifying official must be duly authorized to execute the certification and must report any changes in compliance status to the Purchasing Agency immediately. False certifications are subject to 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. All bid amounts must be submitted in dollars and cents with no fractions of a cent accepted.
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Other files
| File | Type | Posted |
|---|---|---|
| ReciprocalLimitationsAct (materials bid).pdf | ||
| Terms and Conditions.pdf | ||
| Specs and Maps.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 .