Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23WHM FY26 Deer Fence Install SE-A
- Solicitation number
- 6100065934
- Issued by
- Berks County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form established by the Commonwealth of Pennsylvania pursuant to Executive Order 2021-06. The form requires all contractors and grantees of the Commonwealth to certify compliance with Pennsylvania's labor laws and workplace safety regulations. Contractors must confirm adherence to thirteen specific state labor and workforce safety statutes, including the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, Employer to Pay Employment Medical Examination Fee Act, Seasonal Farm Labor Act, Wage Payment and Collection Law, Industrial Homework Law, Construction Industry Employee Verification Act, Act 102 regarding excessive overtime in healthcare, Apprenticeship and Training Act, and Inspection of Employment Records Law. Additionally, contractors must maintain compliance with Pennsylvania's Unemployment Compensation Law and Workers' Compensation Law.
The certification must be executed by an official duly authorized to bind the contractor or grantee. Certifying officials are required to report any changes in the contractor's or grantee's compliance status to the purchasing agency immediately. False certifications are subject to penalties under Pennsylvania law, including contract termination and a three-year ineligibility period to bid on future Commonwealth contracts under 62 Pa. C.S. § 531. The certification is further subject to criminal penalties for unsworn falsification to authorities under 18 Pa. C.S. § 4904. The form was published on February 7, 2022, under form number BOP-2201.
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Other files
| File | Type | Posted |
|---|---|---|
| FY26 Deer Fence Install Southeast A.xlsx | XLSX spreadsheet | |
| terms and conditions.pdf | ||
| FY26 Deer Fence Install Southeast A Maps.pdf | ||
| FY26 Deer Fence Install Southeast A Contract.docx | DOCX document | |
| GSPUR-89 Reciprocal_Limitations_Act_Reqirements.docx | DOCX document |
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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 .