CM-16_(Wage_Theft_Prevention).pdf
PDF 173 KB Posted
- Attached to
- Aerial Equipment Service & Maintenance
- Solicitation number
- EV00017872
- Issued by
- Massachusetts
About this file
This is a Wage Theft Prevention certification form (CM-16) issued by the City of Boston for vendors bidding on city contracts, specifically applicable to the Boston Public Works Department's Aerial Equipment Service & Maintenance contract. The form requires prospective vendors to certify their compliance with wage and labor law requirements prior to bid submission. Vendors must complete this certification annually for multi-year contracts on the contract anniversary date. The form mandates that vendors check either Box 1 (certifying no violations within three years) or Box 2 (disclosing violations and providing documentation), and all vendors must additionally certify compliance with reporting requirements for any violations occurring during the contract term.
Vendors who fail to submit this completed certification with their bid or proposal will have their submission rejected. If awarded the contract, vendors must post the Massachusetts Wage and Hour Laws notice at mass.gov/ago/docs/workplace/wage/wagehourposter.pdf in conspicuous locations to inform employees of protections under General Laws chapters 149 and 151 and the Fair Labor Standards Act. Vendors disclosing prior violations within three years must submit monthly certified payrolls to the City Official and may be required to obtain a wage bond or suitable insurance equal to one year's aggregate gross wages for all contract employees. Vendors subject to state or federal debarment for wage and labor violations are prohibited from contracting with the City, and the City may terminate any contract upon finding or order of debarment.
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Text version
WAGE THEFT PREVENTION
Published May 2025
CM-16
The City of Boston has established requirements for City contracts in an effort to prevent wage theft.
Prospective vendors must provide the following certifications or disclosures with their bids/proposals. Failure to provide the following shall result in rejection of the bid/proposal.
INSTRUCTIONS
A vendor must check box 1 or box 2 as applicable and must sign this form, certifying compliance with the requirements set out in this Form. This form must be included with the bid or proposal, and for multi-year contracts must be completed annually on the contract anniversary.
Pursuant to the above mentioned Executive Order, vendors who have been awarded a contract with the City of Boston must post the Massachusetts Wage and Hour Laws notice informing employees of the protections of G.L. c. 149, c. 151, and the Fair Labor Standards Act in conspicuous places.
This notice can be found at: mass.gov/ago/docs/workplace/wage/wagehourposter.pdf
CERTIFICATION
The undersigned certifies under penalties of perjury that the vendor is in compliance with the provisions of the Executive Order titled “Establishing Requirements for City Contracts in an Effort to Prevent Wage Theft,” as currently in effect.
1 Neither this firm nor any subcontractor has been subject to a federal or state criminal or civil judgment, administrative citation, final administrative determination, order or debarment resulting from a violation of G.L. c149, c151, or the Fair Labor Standards Act within three
(3) years prior to the date of this bid/proposal submission.
Select one statement to certify, as applicable.
2 This firm, or a subcontractor of this firm, has been subject to a federal or state criminal or civil judgment, administrative citation, final administrative determination, order or debarment resulting from a violation of G.L. c149, c151, or the Fair Labor Standards Act within three
(3) years prior to the date of this bid/proposal submission and such documentation is included in the bid/proposal submission.
3 Any federal or state criminal or civil judgment, administrative citation, final administrative determination, order or debarment resulting from a violation of G.L. c149, c151, or the Fair Labor Standards Act imposed while any bid/proposal is pending and, if awarded a contract, during the term of the contract, will be reported to the Official within five (5) days of receiving notice.
All vendors must certify.
WAGE THEFT PREVENTION
CM-16
4 Vendors awarded a contract that have disclosed a federal or state criminal or civil judgment, administrative citation, final administrative determination, or order resulting from a violation of G.L. c149, c151, or the Fair Labor Standards Act within three (3) years prior to the date of this bid/proposal, or during the term of the contract and through the contract term shall furnish their monthly certified payrolls to the Official for all employees working on such contract and may be required to obtain a wage bond or other suitable insurance in an amount equal to the aggregate of one year’s gross wages for all employees. Vendors subject to a state or federal debarment for violation of the above laws or prohibited from contracting with the Commonwealth are prohibited from contracting with the City, and upon a finding or order of debarment or prohibition, the City may terminate the contract.
All vendors must certify.
5 Notice provided by the City, informing employees of the protections of the Order and applicable local, state, and federal law will be posted in conspicuous places.
Name of person signing quotation, bid, or proposal
Name of Business
Signature
Date
APPROVED AS TO FORM BY CORPORATION COUNSEL APRIL, 2025
| Check Box1: |
| 0: |
| 0: Off |
| Printed name of person signing quotation bid or proposal: |
| Name of Business: |
| Signature: |
| Date: |
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