Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23WHM SGL270 New Crew Build Elec
- Solicitation number
- 6100065835
- Issued by
- Mercer County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania requiring compliance with state labor and workforce safety laws. The form applies to all contractors and grantees engaged with Pennsylvania state agencies, including the Pennsylvania Game Commission, which is soliciting bids for construction of two pole buildings at a crew headquarters facility. The project includes a 40' x 100' pole building designated for office space and tool storage with metal siding, roof panels, concrete floor, insulation, interior finishes, doors, and windows, and a 50' x 80' pole building for equipment storage with similar construction specifications. Separate bids are required for four contract categories: General, Mechanical, Plumbing, and Electrical work. Bids will be opened electronically on Thursday, April 30, 2026 at 2:00 PM at the Division of Contracts and Procurement in Harrisburg, Pennsylvania. Technical questions should be directed to Zachary Whitenight of the PGC Engineering Division at 717-787-4250 Ext. 73628 or zwhitenigh@pa.gov. All quantities listed in the project are estimated.
Contractors and grantees must certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and applicable state labor and workforce safety laws including the Construction Workplace Misclassification Act, Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and multiple additional statutes governing employment practices. Authorized officials must execute the certification under penalty of perjury under 18 Pa. C.S. § 4904, and any false certification subjects the contractor to contract termination and three-year ineligibility to bid on Commonwealth contracts under 62 Pa. C.S. § 531. Contractors must immediately report any change in compliance status to the purchasing agency. Bid amounts must be submitted in dollars and cents with no fractions of a cent accepted.
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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 .