IFB_1100_CPG1005_ATT_2_v1.docx

DOCX document 40 KB Posted

Attached to
Electric protective device
Solicitation number
IFB 1100 CPG1005
Issued by
Texas

About this file

This document is an Employer Certification form for the City of Austin's Wage Theft Ordinance Responsibility Criteria, applicable to all contractors submitting offers for city contracts. The certification requirement is mandated under City of Austin Ordinance No. 20221201-031 and applies to the Electric Protective Device contract solicitation posted by Austin Energy. All employers must complete the certification prior to contract award, confirming they have not been adjudicated for wage theft-related incidents as defined in Austin City Code Chapter 4, Sections 4-22-1(G) and (H) within the five years preceding the solicitation posting date. Additionally, all awarded contractors are required to complete the City of Austin Wage Theft Training within 30 days of contract award.

The certification form requires the contractor's authorized representative to sign and affirm under penalty of perjury that the firm meets the wage theft responsibility criteria and agrees to comply with the provisions outlined in Austin City Code Chapter 4, Sections 4-22-5(B) and 4-22-6(A). The form must include the firm's full legal entity name, the authorized signatory's printed name and title, and the location and date of execution. Contractors with questions regarding the wage theft certification or training requirements should contact the Wage Compliance Team at wagetheft@austintexas.gov.

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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 .