Manchester_living_wage_certification.pdf

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Attached to
FURNISH SODIUM HYPOCHLORITE STORAGE TANK
Solicitation number
24/25-12
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 a sodium hypochlorite storage tank. 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 wage requirements or qualify for an exemption. Bidders must indicate if they will pay the required living wage to eligible employees throughout the contract term, or explain their exemption status based on criteria such as being a nonprofit organization, employing fewer than 25 eligible employees, or having an annual contract value less than $25,000.

The certification form is mandatory for bid submission, with a clear warning that failure to properly complete the form may result in bid rejection. The form provides multiple exemption pathways, including charitable foundations with 501(c) tax-exempt status, small employers, and contracts below a specified value threshold. Bidders must sign and date the form, certifying the accuracy of their representations for the specific bid or request for proposal (RFP), which in this case appears to be related to a sodium hypochlorite storage tank procurement for a municipal project in Manchester, Connecticut.

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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 .