LIVING_WAGE_CERTIFICATION.pdf

PDF 227 KB Posted

Attached to
LEAK DETECTION SURVEY FOR WATER DEPARTMENT
Solicitation number
25/26-43
Issued by
Hartford County, Connecticut

About this file

This is a Living Wage Certification Form issued by the Town of Manchester, Connecticut in connection with Request for Proposal 25/26-43 for a leak detection survey of the municipal water distribution system. Bidders are required to complete and submit this certification form with their proposals, indicating whether they qualify as covered employers subject to the Manchester Living Wage Ordinance or meet one of the available exemptions. The form must be signed by an officer, owner, or authorized representative and returned with the bid or RFP submission by the April 23, 2026 deadline at 11:00 a.m. Failure to complete and return the form may result in bid rejection.

The Manchester Living Wage Ordinance applies to contracts exceeding $25,000 in annual value. Bidders may claim exemption from the ordinance if they employ fewer than 25 eligible employees, the annual contract value is less than $25,000, or the bidder is a charitable foundation, charitable trust, or nonprofit organization exempt from federal income taxation under Section 501 of the Internal Revenue Code. Covered employers must commit to paying the required living wage, currently $17.78 per hour with health benefits or $26.07 per hour without benefits, and comply with all ordinance requirements throughout the contract term. The certification form requires bidders to check only one applicable box and provide the proposal number and name before submission.

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File Type Posted
LEAK_DETECTION_SURVEY_FOR_WATER_DEPARTMENT.pdf PDF
WaterSystemMap2026_SM.pdf PDF
LIVING_WAGE_CERTIFICATION.pdf PDF

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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.

C h e ck a ny t h at a pp ly

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S e ct io n

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