Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23NW Warner Farm Road Maintenance
- Solicitation number
- 6100066386
- Issued by
- Wyoming County, Harveys Lake Borough, Pennsylvania
About this file
This Worker Protection and Investment Certification Form is required by the Commonwealth of Pennsylvania for all contractors and grantees working on state contracts, including those with the Pennsylvania Game Commission. The form mandates that contractors certify compliance with Pennsylvania's Unemployment Compensation Law, Workers' Compensation Law, and thirteen specific state labor and workforce safety laws, including provisions related to workplace misclassification, child labor, minimum wage, prevailing wage, equal pay, employment medical examination fees, seasonal farm labor, wage payment and collection, industrial homework, construction industry employee verification, healthcare overtime limitations, apprenticeship and training, and employment records inspection. The certification must be executed by an authorized official of the contractor or grantee and submitted as part of the bid or contract process.
Contractors and grantees must understand that false certifications carry significant penalties under Pennsylvania law, including contract termination and three-year debarment from bidding on future state contracts under 62 Pa. C.S. § 531. Additionally, false certifications are subject to criminal penalties under 18 Pa. C.S. § 4904 (Unsworn Falsification to Authorities). Contractors are required to report any change in their compliance status to the purchasing agency immediately upon discovery. The form, designated BOP-2201, was published on February 7, 2022, and applies to the Warner Farm Road Maintenance project with the Pennsylvania Game Commission, which involves approximately 7,000 linear feet of access road work on State Game Lands #143 in Warren County, with bids due electronically on August 14, 2026.
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Other files
| File | Type | Posted |
|---|---|---|
| ReciprocalLimitationsAct .pdf | ||
| Specs and Maps (6).pdf | ||
| Bid Notice (1).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 .