Worker Protection Form .docx
DOCX document 32 KB Posted
- Attached to
- 23WHM SGL 235 Temp Bridge Construction
- Solicitation number
- 6100059702
- Issued by
- Franklin County, Harveys Lake Borough, Pennsylvania
About this file
The document is a Worker Protection and Investment Certification Form required by the Commonwealth of Pennsylvania for contractors and grantees. The form certifies the contractor's compliance with various Pennsylvania state labor and workplace safety laws, including the Construction Workplace Misclassification Act, Minimum Wage Act, Prevailing Wage Act, and others. The contractor must sign the certification, which includes penalties for providing false information, such as contract termination and three-year ineligibility to bid on state contracts.
The related state and local contract opportunity is for the supply and installation of a temporary prefabricated bridge over Wilson Run in St. Thomas Township, Franklin County, Pennsylvania. The project is being solicited by the Pennsylvania Game Commission (PGC) through an electronic bid process. The scope includes supplying and installing the bridge on cast-in-place concrete abutments constructed by the PGC at the prepared project site.
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Other files
| File | Type | Posted |
|---|---|---|
| 1 of 1 Addendum No 1 Solitication 6100059702.doc | DOC document | |
| 1.0 Bid Notice.pdf | ||
| ReciprocalLimitationsAct (materials bid).pdf | ||
| 2.0 Bid Form Bridge.pdf | ||
| 2.A Project Specifications.pdf | ||
| 3.0 Prop_Cond.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 .