LIVING_WAGE_CERTIFICATION.pdf
PDF 227 KB Posted
- Attached to
- RFQ/RFP MECHANICAL, ELECTRICAL, PLUMBING AND FIRE PROTECTION ON-CALL CONSULTING SERVICES
- Solicitation number
- 25/26-46
- 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 a Request for Qualifications (RFQ) for Mechanical, Electrical, Plumbing, and Fire Protection (MEP/FP) on-call consulting services. 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 obligated to pay the required living wage to eligible employees or whether they qualify for one of the available exemptions. 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 meet any of the following criteria: employing fewer than twenty-five eligible employees, maintaining an annual contract value below $25,000, or operating as a charitable foundation, charitable trust, or nonprofit organization exempt from federal income taxation under Section 501 of the Internal Revenue Code. The form requires certification by an officer, owner, or authorized representative of the bidding company and must be returned with the bid or RFP submission, with the bidder providing their name, company name, bid or RFP number, bid or RFP name, signature, printed name, and date of certification.
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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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