IFB_1100_AGM1006_ATT_4_v1.docx
DOCX document 40 KB Posted
- Attached to
- 19% Aqueous Ammonia
- Solicitation number
- IFB 1100 AGM1006
- Issued by
- Texas
About this file
This document is an Employer Certification form for the Wage Theft Ordinance Responsibility Criteria issued by the City of Austin, Texas, applicable to all employers submitting offers for city contracts. The certification requires employers to confirm under penalty of perjury that they have not been adjudicated for wage theft-related incidents as defined in Austin City Code Chapter 4, Section 4-22-1(G) and (H) within the five years preceding the contract award date. All employers awarded contracts with the City of Austin must complete the City of Austin Wage Theft Training within 30 days of contract award. The form requires the firm's legal entity name, signature of an authorized representative, the representative's printed name and title, the location where signed, and the date of certification. The contract opportunity itself involves providing 19% aqueous ammonia via truckload delivery to Sand Hill Energy Center operated by Austin Energy, the City of Austin's electric utility, for use in nitrous oxide suppression at the facility.
The wage theft certification is a mandatory responsibility criterion for contract eligibility and must be completed prior to contract award. Employers must also agree to abide by the provisions outlined in Austin City Code Section 4-22-5(B) and Section 4-22-6(A). No pricing information, set-asides, contract term details, or other commercial terms are specified in this certification document. For additional information regarding the wage theft program requirements, employers should contact the Wage Compliance Team at wagetheft@austintexas.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| IFB_1100_AGM1006_0600_v1.xls | XLS spreadsheet | |
| IFB_1100_AGM1006_ATT_5_v1.docx | DOCX document | |
| IFB_1100_AGM1006_ATT_2_v1.docx | DOCX document | |
| IFB_1100_AGM1006_0600_v2.xls | XLS spreadsheet | |
| IFB_1100_AGM1006_ADD_1_v1.pdf | ||
| IFB_1100_AGM1006_ADD_2_v1.pdf | ||
| IFB_1100_AGM1006_PAC1_v1.docx | DOCX document | |
| IFB_1100_AGM1006_ATT_1_v1.docx | DOCX document | |
| IFB_1100_AGM1006_0500_v1.docx | DOCX document | |
| IFB_1100_AGM1006_ATT_3_v1.docx | DOCX document | |
| IFB_1100_AGM1006_ATT_6_v1.docx | DOCX document | |
| IFB_1100_AGM1006_PAC1_v4.docx | DOCX document | |
| IFB_1100_AGM1006_ADD_3_v1.pdf | ||
| IFB_1100_AGM1006_PAC1_v3.docx | DOCX document |
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Text version
EMPLOYER CERTIFICATION
WAGE THEFT ORDINANCE – RESPONSIBILITY CRITERIA
CITY OF AUSTIN
Any Employer that submits an offer to the City seeking award of a city contract prior to awarding a contract are required to certify that they have not been adjudicated for certain offenses related to wage theft. See City of Austin Ordinance No. 20221201-031. “Wage theft” and “adjudicated” are to be understood per the definitions set forth in Austin City Code Chapter 4, § 4-22-1 (G) and (H).
Solicitation or Agreement Title:
Solicitation Posting Date or Agreement Start Date:
All Employers are required to complete the City of Austin Wage Theft Training within 30 days of being awarded a contract with the City.
Contact the Wage Compliance Team to register for a class.
I hereby certify, under penalty of perjury under the laws of the State of Texas, that the below certification is true and correct and that I am authorized to make the following certification on behalf of the firm listed herein.
CERTIFICATION:
This firm has NOT been adjudicated for wage theft related incidents as defined in Austin City Code Chapter 4, § 4-22-1 (G) & (H) within five (5) years prior to the above-stated date. Furthermore, this firm agrees to abide by the items outlined in Section 4-22-5 (B) and Section 4-22-6 (A) of the Austin City Code.
| Firm Name: |
Name of Employer - Print Full Legal Entity Name of Firm
| Signed: |
Signature of Authorized Person
Print Name of Person Making Certification for Firm
| Title: |
| Place: |
Title of Person Making Certificate
Print City and State Where Signed
| Date: |
SUBMITTAL – Employer Certification Wage Theft Ordinance – Responsibility Criteria
EMPLOYER CERTIFICATION – WAGE THEFT PROGRAM
If you have questions or need more information, contact us at wagetheft@austintexas.gov.
Revised 09.14.23 image1.png
File details come from the government source that posted it. Updated .