AttachmentF-LivingWageAffidavit.pdf

Attachment F – Living Wage Affidavit Page F-1 effective date: April 17, 2018

Attachment F. Maryland Living Wage Affidavit of Agreement for Service Contracts

Contract No. _____________________________________

Name of Contractor: _________________________________

Address: ________________________________________

If the Contract Is Exempt from the Living Wage Law

The Undersigned, being an authorized representative of the above named Contractor, hereby affirms that the Contract is exempt from Maryland’s Living Wage Law for the following reasons (check all that apply):

Offeror is a nonprofit organization

Offeror is a public service company

Offeror employs 10 or fewer employees and the proposed contract value is less than $500,000

Offeror employs more than 10 employees and the proposed contract value is less than $100,000

If the Contract Is a Living Wage Contract

A. The Undersigned, being an authorized representative of the above-named Contractor, hereby affirms its commitment to comply with Title 18, State Finance and Procurement Article, Annotated Code of Maryland and, if required, submit all payroll reports to the Commissioner of Labor and Industry with regard to the above stated contract. The Offeror agrees to pay covered employees who are subject to living wage at least the living wage rate in effect at the time service is provided for hours spent on State contract activities, and ensure that its subcontractors who are not exempt also pay the required living wage rate to their covered employees who are subject to the living wage for hours spent on a State contract for services. The Contractor agrees to comply with, and ensure its subcontractors comply with, the rate requirements during the initial term of the contract and all subsequent renewal periods, including any increases in the wage rate established by the Commissioner of Labor and Industry, automatically upon the effective date of the revised wage rate.

B. _____________________(initial here if applicable) The Offeror affirms it has no covered employees for the following reasons: (check all that apply):

__ The employee(s) proposed to work on the contract will spend less than one-half of the employee’s time during any work week on the contract

Attachment F – Living Wage Affidavit Page F-2 effective date: April 17, 2018

__ The employee(s) proposed to work on the contract is 17 years of age or younger during the duration of the contract; or

__ The employee(s) proposed to work on the contract will work less than 13 consecutive weeks on the State contract.

The Commissioner of Labor and Industry reserves the right to request payroll records and other data that the Commissioner deems sufficient to confirm these affirmations at any time.

Name of Authorized Representative: ____________________________________________

Signature of Authorized Representative: _______________________________Date: ______________

Title: ____________________________________

Witness Name (Typed or Printed): _______________________________

Witness Signature: _______________________________ Date: ____________________

SUBMIT THIS AFFIDAVIT WITH BID/PROPOSAL

Attachment F. Maryland Living Wage Affidavit of Agreement for Service Contracts