3-Exhibit C - Workforce and Equal Pay Acknowledgement Form.pdf
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- Attached to
- ERP Assessment and Recommendation Consultant
- Solicitation number
- Solicitation212
- Issued by
- Hennepin County, Minnesota
About this file
This is a Workforce and Equal Pay Acknowledgement Form submitted as Exhibit C to a Request for Qualifications (RFQ) issued by the Metropolitan Airports Commission (MAC) in Minnesota for an ERP Assessment and Recommendation Consultant. The form requires proposers to acknowledge and demonstrate compliance with two mandatory certification requirements prior to contract award. Proposers must either provide evidence of a valid Equal Pay Certificate issued by the Minnesota Department of Human Rights (required only for contracts exceeding $500,000) or commit to obtaining one prior to award. Similarly, proposers must either submit proof of a current Certificate of Compliance (Workforce Certificate) or acknowledge their obligation to obtain this certification before contract award. The form requires proposers to provide company name, primary contact information, and authorize a representative to confirm the accuracy of all information provided.
The form serves as a compliance verification document rather than a pricing or service delivery instrument. Proposers failing to demonstrate compliance with either the Equal Pay Certificate or Certificate of Compliance requirements prior to contract award face potential disqualification. The Minnesota Department of Human Rights administers both certification programs, with inquiries regarding the Equal Pay Certificate directed to Tekia Jefferson, Director of Diversity, Equity and Inclusion, and general Workforce Certificate questions directed to the department's compliance office at compliance.mdhr@state.mn.us or (651) 539-1095.
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Text version
EXHIBIT C: WORKFORCE AND EQUAL PAY ACKNOWLEDGEMENT
FORM
Proposer Name: _______________________________________________
Primary Contact Name: __________________________________________
Title: _________________________________________________________
Email: _________________________________________________________
Phone: _________________________________________________________
Section 1: Equal Pay Certificate (Minn. Stat. §363A.44)
Required only for contracts in excess of $500,000.
Please check one:
☐ We currently hold a valid Equal Pay Certificate issued by the Minnesota Department of Human Rights.
Certificate Number: __________________________________ Expiration Date: _____________________________________ Upload/attach a copy of your certificate with this form.
☐ We do not currently hold an Equal Pay Certificate.
We acknowledge that a valid Equal Pay Certificate must be obtained prior to contract award and understand the requirements outlined at www.mn.gov/mdhr/certificates/equalpay.
Questions regarding Equal Pay Certificate requirements may be directed to:
Tekia Jefferson, Director, Diversity, Equity and Inclusion Phone: 612.726.8196
Section 2: Certificate of Compliance (Minn. Stat. §473.144;
Minnesota Rules 5000.3400–5000.3600)
Please check one:
☐ We currently hold a valid Certificate of Compliance (Workforce Certificate).
Certificate Number: __________________________________ Expiration Date: _____________________________________ Upload/attach a copy of your certificate with this form.
☐ We do not currently hold a Certificate of Compliance.
We acknowledge that a valid Certificate of Compliance must be obtained prior to contract award and understand the application process outlined at:
https://mn.gov/mdhr/certificates/workforce-certificate/apply.jsp
Questions regarding Workforce Certificate requirements may be directed to:
Minnesota Department of Human Rights Email: compliance.mdhr@state.mn.us Phone: (651) 539-1095
Section 3: Acknowledgment
By signing below, the proposer affirms the following:
We understand the Equal Pay Certificate and Certificate of Compliance requirements as stated in the ERP Assessment and Recommendation Consultant RFQ.
We acknowledge that failure to demonstrate compliance prior to contract award may result in disqualification.
We confirm that all information provided in this form is accurate.
Authorized Representative Name: ____________________________________
Title: _____________________________________________________________
Signature: ____________________________________ Date: ____________________
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