Annual Paperwork Packet 3.10.2026.pdf

2026 Annual Paperwork Page 1 of 2 12.17.25

Contractor Equal Employment Opportunity Certification

During the performance of any contract executed with the City of Toledo in 2026, the undersigned agrees as follows:

1. The undersigned will not discriminate against any employee or applicant for employment because of race, color, religion, sex, or national origin. The undersigned will take action to ensure that applicants are employed and that employees are treated during employment without regard to their race, color, religion, or national origin. Such action shall include, but not be limited to, the following: Employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship. The undersigned agrees to post in conspicuous places, available to employees and applicants for employment, notices to be provided setting forth the provisions of this equal opportunity clause.

2. The undersigned will, in all solicitations or advertisements for employees placed by or on behalf of the undersigned, state that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, or national origin.

3. The undersigned will send to each labor union or representative of workers, with which he has a collective bargaining agreement or other contract or understanding, a notice to be provided advising the said labor union or workers’ representative of the undersigned’s commitment under this section, and shall post copies of the notice in conspicuous places available to employees and applicants for employment.

4. The undersigned will comply with all rules, regulations, and relevant orders of the Secretary of Labor.

5. The undersigned will furnish all information and reports required by the rules, regulations, and relevant orders of the Secretary of Labor, or pursuant thereto, and will permit access to his books, records, and accounts by the administering agency of the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations, and orders.

6. In the event of the undersigned’s non-compliance with the equal opportunity of this contract or with any of the said rules, regulations, or orders, this contract may be canceled, terminated, or suspended in whole or in part. The undersigned may be declared ineligible for further Government contracts, including federally assisted construction contracts. Such other sanctions may be imposed, and remedies may be provided, by rules, regulations, or order of the Secretary of Labor, or as provided by law.

2026 Annual Paperwork Page 2 of 2 12.17.25

7. The undersigned will include this equal opportunity clause in every subcontract or purchase order unless exempted, so that such provision will be binding upon each subcontractor or vendor. The undersigned will take such action with respect to any subcontract or purchase order as the administering agency may direct as a means of enforcing such provisions, including sanctions for non-compliance. Provided, however, that in the event a contractor becomes involved in, or is threatened with, litigation with a subcontractor or vendor, as a result of such direction by the administering agency, the undersigned may request the United States to enter into such litigation to protect the interest of the United States.

Company:

Business Name:

Signature: Date:

Name & Title of Authorized Representative:

Email: Phone:

LIVING WAGE AFFIDAVIT

I, , being first duly sworn, deposes and says that Authorized Officer is of ___________________, (Owner, Partner, President, etc.) Company Name

The party making the foregoing proposal or bid does hereby certify in accordance with the Living Wage requirements outlined in Chapter 187 of the Toledo Municipal Code:

Please initial both paragraphs (A) and (B) OR one of the exemptions set forth in paragraph (C):

(A) _____ any person who is an employee of our company or any employee working for a subcontractor of our company who is directly working under this contract with the City will be paid a “living wage” of no less than $17.45* per hour, or 110% of the updated federal poverty level for a family of four, whichever is greater; and

(B) _____ our company and/or any of our subcontractors will either 1) make available single coverage health benefits that do not cost the employee more than 15% of the employees’ monthly wages, except to those employees within an established probationary period that does not exceed sixty work days, or 2) in lieu of the single coverage health benefits discussed above, the employee will be paid a living wage of no less than $20.63* or 130% of the updated federal poverty level for a family of four, whichever is greater.

(C) Our Company qualifies for one or more of the exemptions to the Living Wage ordinance on this contract (please initial all of the exemption(s) that are applicable):

(1) _____ employ fewer than 25 persons;

(2) _____ employ only seasonal employees, interns or volunteers;

(3) _____ are nonprofit organizations whose sole purpose is to provide cultural, social or educational services;

(4) _____ pay employees the prevailing wage rate, or a wage rate pursuant to the Davis Bacon act;

(5) _____ recipients of Community Development Block Grant Funding;

(6) _____ financial assistance recipients with fewer than 50 employees

(7) _____ organizations whose primary mission is to provide job readiness and training services, and whose sole purpose of requesting funding is to provide those services;

(8) _____ Mayor’s Exemption for Economic and Development Purposes.

I further certify that 1) there shall be no retaliation against any employee of our company or our subcontractors who claim violation of the provisions of the Living Wage ordinance or reports or testifies regarding an alleged violation; 2) our company will post a notice provided by the City stating that the employees may be subject to this Living Wage ordinance, and 3) that our company will twice yearly give to our employees a notice stating that the employee may be subject to the living wage ordinance and explaining the current living wage amount with and without single medical coverage.

I further certify that if any changes occur that would either change my exemption or place the company under an exemption, I will provide written notification of the change immediately to the City of Toledo.

Affiant:

Sworn and subscribed before me this day of , 2026.

Notary Public

(SEAL)

* PLEASE NOTE: Current rates listed reflect 2026 Federal Poverty Rates and Guidelines. These rates are subject to change in January 2027 per the Federal Poverty Line Adjustment

2026 Annual Paperwork Page 1 of 1 12.17.25

Certification Regarding Debarment, Suspension, and Other Responsibility Matters

The prospective participant certifies to the best of its knowledge and belief that it and its principals:

a) Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal department or agency;

b) Have not, within three years preceding this proposal, been convicted of or had a civil judgement rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal of State antitrust statues or commission if embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;

c) Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (b) of this certification;

d) Have not, within a three-year period preceding this application/proposal, had one or more public transactions (Federal, State, or local) terminated for cause or default; and

e) Will not utilize a subcontractor or supplier who is unable to certify (a) through (d) above.

I understand that a false statement on this certification may be grounds for rejection of this proposal or termination of the award. In addition, under 18 USC Sec. 1001, a false statement may result in a fine of up to $10,000 or imprisonment for up to 5 years, or both. Signor is obligated to report any change in circumstances that could affect the accuracy of the above statements.

Company:

Business Name:

Signature: Date:

Name & Title of Authorized Representative:

Email: Phone: