Manchester_living_wage_certification.pdf

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Attached to
ACTIFLOW POLYMER
Solicitation number
24/25-35
Issued by
Hartford County, Connecticut

About this file

The document is a Living Wage Certification Form issued by the Town of Manchester, Connecticut, related to a contract opportunity for Actiflow Polymer. The form requires bidders to certify whether they are a "Covered Employer" under the Manchester Living Wage Ordinance (Chapter 212 of the Manchester Code of Ordinances) and comply with its requirements. Bidders must indicate if they will pay the required living wage to eligible employees during the contract term or if they are exempt from the ordinance due to specific conditions such as being a nonprofit organization, employing fewer than 25 eligible employees, or having an annual contract value less than $25,000.

The form is designed to ensure that potential contractors understand and comply with local wage standards, with a clear warning that failure to complete the form may result in bid rejection. Bidders must sign and date the document, certifying the accuracy of their representations, and submit it with their bid or RFP. The form provides multiple exemption categories, including charitable foundations with 501(c) tax-exempt status, small employers, and contracts below a specified dollar threshold, offering flexibility while maintaining the town's commitment to fair wage practices.

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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 INDICATE MAY RESULT IN THE REJECTION OF YOUR BID.

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 that:

I/We are not a Covered Employer and therefore not subject to Manchester’s Living Wage Ordinance for the reason indicated below:

____ 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.

____ Bidder employs less than twenty five (25) eligible employees.

____ Annual contract value is less than $25,000.

I, of do hereby certify Officer, Owner, Authorized Rep. Company Name that the representations made above are accurate for :

Bid Name or RFP Name

Signed by: Dated:

TO BE RETURNED WITH BID OR RFP SUBMISSION.

File details come from the government source that posted it. Updated .