IFB_2200_CSH1059_ATT_9_v1.docx

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Attached to
Cationic polymer
Solicitation number
IFB 2200 CSH1059
Issued by
Texas

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Written by GovTribe AI ·

This is an Employer Certification document for the Wage Theft Ordinance Responsibility Criteria issued by the City of Austin, Texas, in connection with a contract opportunity for Cationic Polymer for potable water treatment. The certification requirement applies to any employer submitting an offer to the City of Austin prior to contract award. All employers awarded a City contract are required to complete the City of Austin Wage Theft Training within 30 days of contract award by contacting the Wage Compliance Team for class registration. The certification document requires employers to declare under penalty of perjury that 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 five years prior to the solicitation posting date or agreement start date, and that they agree to abide by the provisions outlined in Austin City Code Sections 4-22-5 (B) and 4-22-6 (A).

The document requires the authorized signatory of the firm to complete the certification form with the firm's full legal entity name, the signatory's printed name and title, the city and state where signed, and the date of signature. Questions regarding the Wage Theft Ordinance certification may be directed to the City's Wage Compliance Team at wagetheft@austintexas.gov. The document was revised on September 14, 2023.

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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 .