Workers Protect Form.pdf
PDF 409 KB Posted
- Attached to
- 12 HGAC Perish Food Q4 2026
- Solicitation number
- 6100065477
- Issued by
- Carbon County, Pennsylvania
About this file
This is a Worker Protection Form required for bid submission on a perishable and non-perishable food procurement solicitation issued by the Commonwealth of Pennsylvania Department of Labor and Industry, Office of Vocational Rehabilitation, and Commonwealth Technical Institute located at the Hiram G Andrews Center in Johnstown, Pennsylvania. The procurement covers food supplies for students and teachers at Commonwealth Technical Institute for the period of October 1, 2026 through December 31, 2026. The Commonwealth reserves the right to adjust quantities based on actual requirements and may conduct separate competitive procurement if deemed in its best interest. Award will be made by line item to approved brands based on lowest price, though the Commonwealth may award a lump sum to a single vendor if advantageous. The solicitation comprises a Statement of Work, Terms and Conditions, Specifications, this Worker Protection Form, and Reciprocal Limitations Act documentation, with the Worker Protection Form required as part of the bid response. Questions regarding the solicitation must be submitted in writing by 4:00 p.m. ET on Thursday, August 20, 2026.
The Worker Protection Form (BOP-2201 2201 EO 2021-06) serves as a mandatory submission document as part of the required bid documentation for this food procurement. The Commonwealth coordinates delivery with the selected vendor. All bid responses must include the completed Worker Protection Form along with specifications and other required documentation outlined in the Statement of Work to be considered for award.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Cambria Perish Food Q4 2026 SOW.pdf | ||
| HGAC Cambria Perish Food Q4 2026 SPECIFICATIONS.xlsx | XLSX spreadsheet | |
| Locating & Responding to Solicitation.pdf | ||
| Cambria Perish Food Q4 2026 T & C.pdf | ||
| Reciprocal Limitations Act.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
File details come from the government source that posted it. Updated .