Town_of_Manchester_Living_Wage_Certification_Form.pdf
PDF 280 KB Posted
- Attached to
- 2026 ON-CALL SIDEWALK SPOT REPAIR PROGRAM
- Solicitation number
- 25/26-48
- Issued by
- Hartford County, Connecticut
About this file
This is a Living Wage Certification Form issued by the Town of Manchester, Connecticut, establishing compliance requirements for bidders responding to the 2026 On-Call Sidewalk Spot Repair Program (Bid No. 25/26-48). Sealed bids for this project will be accepted through the Town's eProcurement Portal until 2:00 pm on Monday, April 27, 2026, at which time bids will be publicly opened and read aloud. The form requires all bidders to certify their status as either a covered employer subject to the Manchester Living Wage Ordinance or an exempt entity. Failure to complete and submit this certification with the bid submission may result in bid rejection.
The form identifies three exemption categories from the living wage requirements: employers with fewer than twenty-five eligible employees, contracts with an annual value below $25,000, and charitable foundations, charitable trusts, or nonprofit organizations that are exempt from federal income taxation under Section 501 of the Internal Revenue Code. Covered employers must certify their commitment to pay the required living wage to eligible employees and maintain compliance with Chapter 212 of the Manchester Code of Ordinances throughout the contract term. The form requires signature and certification by an officer, owner, or authorized representative of the bidding company, along with identification of the bid number and bid name.
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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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