LIVING_WAGE_CERTIFICATION.pdf
PDF 227 KB Posted
- Attached to
- SURVEY SERVICES - BUSH HILL RD RECONSTRUCTION
- Solicitation number
- 25/26-42
- Issued by
- Hartford County, Connecticut
About this file
This Living Wage Certification Form is required by the Town of Manchester, Connecticut for Request for Proposal 25/26-42 seeking survey services for Bush Hill Road reconstruction. Bidders must complete and return the certification form with their proposal submission by the April 8, 2026, deadline at 2:00 p.m. The form requires bidders to indicate whether they are covered employers subject to the Manchester Living Wage Ordinance or qualify for exemption. Failure to complete and return the certification may result in bid rejection.
The Manchester Living Wage Ordinance applies to service contracts exceeding $25,000 annually and requires covered employers to pay eligible employees a living wage of $17.78 per hour with comprehensive health benefits or $26.07 per hour without such benefits. Bidders may claim exemption if they employ fewer than twenty-five eligible employees, have an annual contract value below $25,000, or operate as charitable foundations, charitable trusts, or nonprofit organizations exempt from federal income taxation under Section 501 of the Internal Revenue Code. The certification form must be signed by an officer, owner, or authorized representative of the bidding company and submitted with the proposal package.
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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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