Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23WHM FY26 Deer Fence Removal North
- Solicitation number
- 6100066132
- Issued by
- Westmoreland County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania, pursuant to Executive Order 2021-06, establishing mandatory labor compliance requirements for all contractors and grantees doing business with the state. The form requires certification that contractors are in compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and thirteen specific state labor and workforce safety laws, including regulations covering workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, employment medical examination fees, seasonal farm labor, wage payment and collection, industrial homework, employee verification, healthcare overtime limitations, apprenticeship and training, and employment record inspection. Contractors must certify compliance through an authorized official who attests to the contractor's adherence to these requirements and agrees to report any changes in compliance status to the Purchasing Agency immediately.
The certification form carries significant consequences for false certifications, including contract termination and three-year ineligibility to bid on future state contracts under 62 Pa. C.S. § 531, as well as penalties under 18 Pa. C.S. § 4904 for unsworn falsification to authorities. The form requires completion with the signature and date of the certifying official, the official's printed name and title, and the contractor or grantee's printed name, and was published by the state on February 7, 2022. This certification is a mandatory prerequisite for contract award and ongoing contract compliance throughout the term of the agreement with the Commonwealth.
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Other files
| File | Type | Posted |
|---|---|---|
| FY26 Fence Removal North (Line Items 1&2).xlsx | XLSX spreadsheet | |
| FY26 Deer Fence Removal Contract North.docx | DOCX document | |
| FY26 Deer Fence Removal North Maps (Line Item 2 NER).pdf | ||
| GSPUR-89 Reciprocal_Limitations_Act_Reqirements.docx | DOCX document | |
| FY26 Deer Fence Removal North Maps (Line Item 1 NWR).pdf | ||
| Terms and conditions.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 .