Town_of_Manchester_Living_Wage_Certification_Form.pdf
PDF 280 KB Posted
- Attached to
- FOREBAY DREDGING AT CENTER SPRINGS POND
- Solicitation number
- 25/26-27
- Issued by
- Hartford County, Connecticut
About this file
This is a Living Wage Certification Form issued by the Town of Manchester, Connecticut, for contractors bidding on municipal contracts. The form requires all bidders to certify their compliance status with the Manchester Living Wage Ordinance (Chapter 212 of the Manchester Code of Ordinances, Sections 212-1 through 212-11) prior to bid submission. Bidders must indicate whether they are covered employers obligated to pay the required living wage to eligible employees throughout the contract term or claim an exemption. The certification must be completed and returned with the bid or RFP submission, with failure to do so resulting in bid rejection. The form applies to Bid No. 25/26-27 for Forebay Dredging at Center Springs Pond, with sealed bids due by 2:00 pm on Tuesday, December 9, 2025, via the Town's eProcurement Portal.
Covered employers must comply with all ordinance requirements and pay the mandated living wage to eligible employees for the duration of the contract. Exemptions are available for contractors employing fewer than twenty-five eligible employees, those with annual contract values below $25,000, and qualifying charitable foundations, charitable trusts, nonprofit agencies, and nonprofit corporations that maintain federal tax-exempt status under Section 501 of the Internal Revenue Code. The responsible officer or authorized representative must sign and date the certification form, providing their name, title, company name, bid number, and bid name. Completion of this form is mandatory for all bid submissions to the Town of Manchester.
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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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