IFB_2200_CSH1061_ATT_9_v1.docx

DOCX document 43 KB Posted

Attached to
Liquid Aluminum Sulfate
Solicitation number
IFB 2200 CSH1061
Issued by
Texas

About this file

This is an Employer Certification form for the City of Austin's Wage Theft Ordinance responsibility criteria, required as a submittal document for the Liquid Aluminum Sulfate contract opportunity. The certification requires all employers submitting offers to the City of Austin to attest, 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. Employers must provide their firm name, the signature and printed name of an authorized representative, the representative's title, the location where signed, and the date of certification. All awarded contractors are required to complete the City of Austin Wage Theft Training within 30 days of contract award.

The certification also confirms that the bidding firm agrees to abide by the requirements outlined in Austin City Code sections 4-22-5(B) and 4-22-6(A). This document serves as a responsibility criterion established by City of Austin Ordinance No. 20221201-031 and must be completed and submitted as part of the bid package. Questions regarding the wage theft certification process can be directed to the Wage Compliance Team at wagetheft@austintexas.gov. The form was revised as of September 14, 2023.

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Text version

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 .