Manchester_living_wage_certification.pdf

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Attached to
UNREGULATED CONTAMINANT MONITORING RULE 5 TESTING (UCMR5 TESTING)
Solicitation number
22/23-56
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 for Unregulated Contaminant Monitoring Rule 5 (UCMR5) Testing. The form requires bidders to certify whether they are a "Covered Employer" subject to the Manchester Living Wage Ordinance, with potential exemptions for nonprofits, employers with fewer than 25 employees, or contracts under $25,000. Bidders must indicate their status and compliance with the ordinance, with a warning that failure to properly complete the form may result in bid rejection.

The certification form is part of a broader solicitation for UCMR5 water testing services, where the Town of Manchester seeks a laboratory approved by the EPA to conduct drinking water sample testing during the 2023 and 2024 calendar years. The testing will occur in four specific months (October 2023, January 2024, April 2024, and July 2024), with the successful bidder responsible for providing testing containers, managing sample shipping, and electronically reporting results to the EPA. The town reserves the right to add additional testing, use alternate laboratories for quality control, and negotiate pricing for any supplemental testing needs.

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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 .