IFB_1100_DPL1010_ATT_9_v1.docx
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- Solicitation number
- IFB 1100 DPL1010
- Issued by
- Texas
About this file
This is an Employer Certification form for the City of Austin's Wage Theft Ordinance Responsibility Criteria, applicable to all employers submitting offers for City of Austin contracts. The certification requirement is established under City of Austin Ordinance No. 20221201-031 and references definitions in Austin City Code Chapter 4, Section 4-22-1. The form requires employers to certify that they have not been adjudicated for wage theft-related incidents as defined in the referenced code sections within five years prior to the solicitation posting date or agreement start date. All employers awarded a contract with the City must complete the City of Austin Wage Theft Training within 30 days of contract award. The certification confirms that the 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.
The form requires an authorized representative of the firm to execute the certification under penalty of perjury under Texas law. The certification must include the firm's full legal entity name, the signature and printed name of the authorized person making the certification, their title, the place where signed, and the date of execution. For questions or additional information regarding the Wage Theft Program, interested parties should contact the Wage Compliance Team at wagetheft@austintexas.gov.
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SUBMITTAL – Employer Certification Wage Theft Ordinance - Responsibility Criteria
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: |
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 .