LIVING_WAGE_CERTIFICATION.pdf

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Attached to
BUILDING REPURPOSING OF 32 MAIN STREET
Solicitation number
25/26-52
Issued by
Hartford County, Connecticut

About this file

This is a Living Wage Certification Form issued by the Town of Manchester, Connecticut, for use in conjunction with the Building Repurposing of 32 Main Street request for proposals. The form requires all bidders to certify their compliance status with the Manchester Living Wage Ordinance (Chapter 212 of the Manchester Code of Ordinances, Sections 212-1 through 212-11). Bidders must indicate whether they are covered employers subject to living wage requirements or qualify for an exemption. Failure to complete and return the certification form may result in rejection of the bid or RFP submission.

Bidders may claim exemption from the living wage ordinance if they employ fewer than twenty-five eligible employees, the annual contract value is less than $25,000, or if they are a charitable foundation, charitable trust, nonprofit agency, or nonprofit corporation exempt from federal income taxation under Section 501 of the Internal Revenue Code. Covered employers must commit to paying the required living wage to eligible employees and maintaining compliance with all ordinance requirements throughout the contract term. The form requires certification by an officer, owner, or authorized representative and must be submitted with the bid or RFP proposal.

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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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