IFB_2200_BYS1050_ATT_8_v1.docx
DOCX document 40 KB Posted
- Attached to
- Fluorosilicic acid
- Solicitation number
- IFB 2200 BYS1050
- Issued by
- Texas
About this file
This is an Employer Certification document 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 applies to the Fluorosilicic Acid contract, which will provide 23% Fluorosilicic Acid for potable water treatment to support dental health in Texas. All employers must complete this wage theft certification prior to contract award and are required to complete the City of Austin Wage Theft Training within 30 days of being awarded a contract.
Employers must certify under penalty of perjury that their firm has 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 prior to the solicitation posting date or agreement start date. Additionally, firms must agree to abide by the requirements outlined in Austin City Code Sections 4-22-5(B) and 4-22-6(A). An authorized representative of the firm must sign the certification form, providing the firm's legal entity name, the signatory's printed name and title, location of signing, and date. Questions regarding the wage theft program should be directed to wagetheft@austintexas.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| IFB_2200_BYS1050_PAC1_v1.pdf | ||
| IFB_2200_BYS1050_ATT_6_v1.docx | DOCX document | |
| IFB_2200_BYS1050_ATT_7_v1.docx | DOCX document | |
| IFB_2200_BYS1050_ATT_5_v1.docx | DOCX document | |
| IFB_2200_BYS1050_0600_v1.xlsx | XLSX spreadsheet | |
| IFB_2200_BYS1050_ATT_4_v1.docx | DOCX document | |
| IFB_2200_BYS1050_ADD_1_v1.pdf | ||
| IFB_2200_BYS1050_ATT_3_v1.docx | DOCX document | |
| IFB_2200_BYS1050_ATT_2_v1.pdf | ||
| IFB_2200_BYS1050_ATT_1_v1.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 .