IFB_2200_BYS1057_ATT_6_v1.docx

DOCX document 40 KB Posted

Attached to
Filter Sand and Gravel
Solicitation number
IFB 2200 BYS1057
Issued by
Texas

About this file

This is an Employer Certification document related to the City of Austin's Wage Theft Ordinance responsibility criteria for a Filter Sand and Gravel supply and delivery contract in Texas. The certification form requires all employers submitting offers to the City of Austin to certify that they have not been adjudicated for wage theft-related offenses as defined in Austin City Code Chapter 4, Sections 4-22-1(G) and (H), within the five years prior to contract award. Additionally, all employers awarded a contract with the City must complete the City of Austin Wage Theft Training within 30 days of contract award by registering with the Wage Compliance Team.

The certification must be completed under penalty of perjury under Texas law by an authorized representative of the firm and must include the full legal entity name, the signature and printed name of the certifying officer, the officer's title, the location where signed, and the date of certification. Firms executing this certification also agree to comply with the requirements outlined in Sections 4-22-5(B) and 4-22-6(A) of the Austin City Code. Questions regarding the wage theft program should be directed to wagetheft@austintexas.gov. The form was last revised on September 14, 2023.

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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 .