Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23NC Fairview Savannah Phase3
- Solicitation number
- 6100066292
- Issued by
- Clearfield County, Pennsylvania
About this file
This is a Worker Protection and Investment Certification Form issued by the Commonwealth of Pennsylvania, applicable to contractors and grantees working on state and local contract opportunities, including the 23NC Fairview Savannah Phase 3 project managed by the Pennsylvania Game Commission's Northcentral Region in conjunction with the Pennsylvania Department of Conservation and Natural Resources. The certification form requires contractors to affirm compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and all applicable state labor and workforce safety laws, including the Construction Workplace Misclassification Act, Employment of Minors Child Labor Act, Minimum Wage Act, Prevailing Wage Act, Equal Pay Law, and eleven additional labor and safety statutes. The certifying official must be duly authorized to execute the certification on behalf of the contractor or grantee and must report any changes in compliance status to the purchasing agency immediately.
The certification carries significant legal consequences for non-compliance, including contract termination and three-year ineligibility to bid on Commonwealth contracts under 62 Pa. C.S. 531. The form is subject to the provisions and penalties of 18 Pa. C.S. 4904 (Unsworn falsification to authorities), making false certifications a serious violation of Pennsylvania law. The form requires the signature, date, printed name, and title of the certifying official, as well as the printed name of the contractor or grantee. This certification form was published on February 7, 2022, and serves as a mandatory compliance requirement for all contractors bidding on or performing work related to Commonwealth projects.
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Other files
| File | Type | Posted |
|---|---|---|
| Terms and Conditions.pdf | ||
| Fairview Savannah Proj. Phase 3 Tree Cutting.docx | DOCX document | |
| DCNR E&S Plan.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 .