LIVING_WAGE_CERTIFICATION.pdf
PDF 227 KB Posted
- Solicitation number
- 25/26-45
- Issued by
- Hartford County, Connecticut
About this file
This is a Living Wage Certification Form issued by the Town of Manchester, Connecticut, applicable to the Consulting Services for Housing Rehabilitation Emergency Replacement Program contract opportunity. Bidders are required to complete and submit this form with their bid or RFP response under penalty of bid rejection. The form requires bidders to declare their status as either a covered employer subject to the Manchester Living Wage Ordinance (Chapter 212 of the Manchester Code of Ordinances, Sections 212-1 through 212-11) or to claim exemption based on specified criteria. Covered employers must commit to paying the required living wage to eligible employees and complying with all ordinance requirements throughout the contract term.
Bidders may claim exemption from the living wage requirements if they meet one or more of the following conditions: employment of fewer than twenty-five eligible employees, annual contract value below $25,000, or status as a charitable foundation, charitable trust, nonprofit agency, or nonprofit corporation exempt from federal income taxation under Section 501 of the Internal Revenue Code. The certification must be signed and dated by an officer, owner, or authorized representative of the bidding company and include the bid/RFP number and name. Failure to complete and return the form may result in bid rejection.
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Text version
TOWN OF MANCHESTER
LIVING WAGE CERTIFICATION FORM
The Town of Manchester has determined that this contract may be subject to the provisions of the
Manchester Living Wage Ordinance, Chapter 212 of the Manchester Code of Ordinances, Sections 212-1 through 212-11.
Bidders are required to indicate whether they are a Covered Employer as defined by the Manchester
Living Wage Ordinance or are exempt from the requirements by marking the appropriate section below.
*****Failure to complete and return this form may result in the rejection of your Bid/RFP.*****
I/We are a covered employer and shall pay the required living wage to eligible employees and comply with the requirements of the ordinance during the term of the contract.
OR
I/We are not a Covered Employer and therefore not subject to Manchester’s Living Wage
Ordinance for the reason(s) indicated below.
Please indicate the reason, if you are not a covered employer, by checking the box or boxes that apply directly below.
Bidder employs less than twenty-five (25) eligible employees.
Annual contract value is less than $25,000.
Charitable foundations, charitable trusts or nonprofit agencies or nonprofit corporations, provided that the foundation, trust or nonprofit agency or corporation is exempt from federal income taxation and may accept charitable contributions under Section 501 of the Internal Revenue Code of 1986, or any subsequent corresponding internal revenue code of the United States, as from time to time amended.
I, __________________________________________ am the Officer, Owner, Authorized Representative of ______________________________________________________________, the company named in the Bid or RFP, and do hereby certify that the representations made above are true and correct for
Bid/RFP Number________________ Bid/RFP Name ___________________________________________
Signature Print Name
Date
Please return with your Bid or RFP submission.
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