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 Housing Rehabilitation Program's Emergency Replacement consulting services contract. Bidders are required to complete and submit this certification form with their proposals, indicating whether they qualify as a covered employer subject to the Manchester Living Wage Ordinance or claiming exemption based on specified criteria. The form must be signed by an authorized officer, owner, or representative and returned with the bid or RFP submission by the April 14, 2026 deadline at 11:00 a.m. Failure to complete and return the form may result in bid rejection.
The Town of Manchester Living Wage Ordinance (Chapter 212 of the Manchester Code of Ordinances) establishes wage requirements for covered employers defined as those with twenty-five or more eligible employees and contracts exceeding $25,000 in annual value. Covered employers must pay eligible employees either $17.78 per hour with comprehensive health benefits or $26.07 per hour without comprehensive health benefits, with rates adjusted annually. Exemptions are available for employers with fewer than twenty-five eligible employees, contracts valued below $25,000, or qualified nonprofit organizations exempt from federal income taxation under Section 501 of the Internal Revenue Code. All bidders must certify their compliance status or claim applicable exemptions on this form as a mandatory requirement for proposal consideration.
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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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