LIVING_WAGE_CERTIFICATION.pdf
PDF 280 KB Posted
- Solicitation number
- 25/26-73
- 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 connection with the Snow Plowing and De-Icing Services contract for the Downtown District during the 2026/2027 and 2027/2028 winter seasons. Bidders are required to complete and submit this form with their bid or RFP response, indicating their compliance status with the Manchester Living Wage Ordinance (Chapter 212 of the Manchester Code of Ordinances, Sections 212-1 through 212-11). Failure to complete and return the certification form may result in bid rejection. The form requires bidders to certify either that they are a covered employer committed to paying the required living wage to eligible employees and complying with ordinance requirements throughout the contract term, or that they qualify for an exemption.
Bidders may claim exemption from living wage requirements if they employ fewer than twenty-five eligible employees, the annual contract value is less than $25,000, or they are a charitable foundation, charitable trust, nonprofit agency, or nonprofit corporation exempt from federal income taxation under Section 501(c) of the Internal Revenue Code. The officer, owner, or authorized representative of the bidding company must sign and date the certification form, providing their printed name, the company name, the bid or RFP number, and the bid or RFP name. Only one compliance option should be selected, and all applicable exemption boxes must be checked if claiming exempt status.
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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.
If you are not a covered employer, please indicate the reason 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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