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CERTIFICATE AUTHORIZING SPECIAL MINIMUM WAGE RATES UNDER SECTION 14(c)

OF THE FAIR LABOR STANDARDS ACT

U. S. Department of Labor

Certificate Authorizing Special Minimum

Employment Standards Administration

Wage Rates Under Section 14(c) of the Fair

Wage and Hour Division

Labor Standards Act

230 SOUTH DEARBORN STREET

ROOM #524

Certificate Number: 05-13843-S-001 Date: 12/14/2000

CHICAGO, ILLINOIS 60604–1591

FOR BRANCH LOCATION

LMNOP WORK CENTER

LMNOP WORKCENTER

P.O. BOX 777

1000 TRANE STREET

JAZZCAT, US 0000

JAZZCAT, US 00000

/SHELTERED WORKSHOP/

This special certificate authorizes the employment of workers with disabilities in accordance with the requirements of 29 CFR Part 525,

effective 12/06/2000.

This certificate will remain in effect provided that all applicable provisions of the Fair Labor Standards Act, the Walsh-Healey Public

Contracts Act, the McNamara-O'Hara Service Contract Act, and the Contract Work Hours and Safety Standards Act and the regulations

issued pursuant thereto are fully complied with. If an application for renewal has been properly and timely filed with the Wage and Hour

Division prior to 11/20/2002, this special minimum wage certificate will remain in effect until the application for renewal has been

granted or denied.

The enclosed certificate does not constitute a statement of compliance by the Department of Labor nor does it convey a good faith

defense to the employer should violations of the Fair Labor Standards Act, the Walsh-Healey Public Contracts Act, the McNamara-

O'Hara Service Contract Act, or the Contract Work Hours and Safety Standards Act occur.

Please contact the following Wage Specialist should you have any questions regarding the issuance of this certificate:

Name of wage specialist Phone: telephone number

See the reverse of this certificate and the applicable regulations for further information.

NOTICE TO WORKERS WITH DISABILITIES PAID AT SPECIAL MINIMUM WAGES

The Fair Labor Standards Act (FLSA) provides that workers with disabilities whose disabilities impair their ability to perform the type of

work being done in the establishment may be employed at wage rates below the minimum otherwise required by the FLSA. Such

employment is permitted only under certificates issued by the Department of Labor and must reflect the productivity of the individual

worker as related to the productivity of a worker who does not have disabilities for the work being performed, and the wages being

paid to experienced workers performing the same or similar work in the vicinity. Such wages are referred to as "commensurate wage

rates." This establishment has a certificate authorizing the payment of commensurate wages to workers with disabilities. Workers who

do not have disabilities for the work being performed, including workers who may otherwise have disabilities, must receive at least the

statutory minimum wage.

For purposes of payment of commensurate wages under a certificate, a worker with a disability is defined as an individual whose

earning or productive capacity is impaired by a physical or mental disability, including those relating to age or injury, for the work to be

performed.

Disabilities which may, but will not necessarily, affect productive capacity include blindness, mental illness, mental retardation, cerebral

palsy, alcoholism, and drug addiction. The following, taken by themselves, do not constitute disabilities for purposes of paying

commensurate wages: educational disabilities, chronic unemployment, receipt of welfare benefits, nonattendance at school, juvenile

delinquency, and correctional parole or probation.

Each worker with a disability, and where appropriate, the parent or guardian of such worker, shall be informed orally and in writing by

the employer of the terms of the certificate under which such worker is employed.

Complaints or questions regarding the terms and conditions of employment under a certificate may be directed to the Wage and Hour

Division, U.S. Department of Labor. Action will be taken to address an individual's concerns, including where appropriate, a formal

investigation of the employer.

Workers with disabilities paid at special minimum wages may also petition the Administrator of the Wage and Hour Division of the U.S.

Department of Labor for a review of their wage rates by an Administrative Law Judge. No particular form of petition is required, except

that it must be signed by the worker with a disability or his or her parent or guardian and should contain the name and address of the

employer. Petitions should be mailed to: Administrator, Wage and Hour Division, U.S. Department of Labor, Room S-3502, 200

Constitution Avenue, N.W., Washington, D.C., 20210.

title

date printed

Name

Wage and Hour Representative

Title

Date Certificate Printed

Certificate Authorizing Special Minimum Wage Rates Under Section 14(C) Of The Fair Labor Standards Act Sample - U.s.department Of Labor

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