Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23WHM SGL 305 Culvert Replacement
- Solicitation number
- 6100065892
- Issued by
- Cumberland County, Harveys Lake Borough, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania in accordance with Executive Order 2021-06, applicable to all contractors and grantees working with the state. The form requires certification of compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and thirteen specific state labor and workforce safety statutes, including provisions addressing workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, and employment record inspection requirements. The certification must be executed by an official duly authorized to represent the contractor or grantee, and any changes in compliance status must be reported immediately to the purchasing agency.
Contractors and grantees who submit false certifications are subject to significant penalties under Pennsylvania law, including contract termination and a three-year debarment or suspension period prohibiting them from bidding on state contracts under 62 Pa. C.S. § 531. The certification is also subject to the penalties outlined in 18 Pa. C.S. § 4904 regarding unsworn falsification to authorities. This form (BOP-2201) was published on February 7, 2022, and serves as a mandatory compliance requirement for participation in state procurement opportunities such as the culvert replacement project on State Game Lands #305 being solicited by the Pennsylvania Game Commission, with electronic bids due on May 6, 2026, at 2:00 PM.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 1.0 Bid Notice.pdf | ||
| 1 of 1 Addendum No 1 Solitication 6100065892.pdf | ||
| Terms and Conditions.pdf | ||
| 3.0 Drawing.pdf | ||
| 2.0 Specifications.pdf | ||
| GSPUR-89 Reciprocal_Limitations_Act_Reqirements.docx | DOCX document |
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 .