Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23NC RKD Union, Lycoming, Tioga
- Solicitation number
- 6100066100
- Issued by
- Union County, Pennsylvania
About this file
This Worker Protection Form is associated with a roadkill deer disposal service contract opportunity for the Northcentral Region of Pennsylvania, managed by the Pennsylvania Game Commission (PGC). The contract covers Union, Lycoming, and Tioga counties and requires the selected vendor to pick up road-killed deer and deer parts, then properly dispose of them according to specified protocols. All quantities referenced in the purchase order are estimated. The contract term extends for one year with the option to renew for an additional four years on a year-by-year basis, contingent upon mutual agreement between the PGC and the vendor. Interested vendors should contact Mercy Melo at 570-398-4744 ext 30312 for additional information regarding the specific duties and expectations outlined in the specifications section.
The Worker Protection Form establishes occupational safety and health requirements for personnel performing roadkill disposal work under this contract. While specific pricing terms, set-aside provisions, incumbent vendor information, and detailed funding sources are not detailed in this particular form, vendors must ensure compliance with worker protection standards and safety protocols as outlined. The document serves as a critical component ensuring that all personnel engaged in the collection and disposal of road-killed deer maintain appropriate safety measures and protection throughout contract performance.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Contracts Federal Boilerplate Language Exhibit A 07_24_2015 (002).docx | DOCX document | |
| NewContractBidSpecs_UnionLycoTioga.docx | DOCX document | |
| Terms and conditions.pdf | ||
| Roadkill Deer Contract Rewrite (1).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 .