IFB_5000_JRN1037_ATT_7_v1.docx
DOCX document 40 KB Posted
- Attached to
- Compressed Medical-Grade Oxygen
- Solicitation number
- IFB 5000 JRN1037
- Issued by
- Texas
About this file
This document is an Employer Certification form for the City of Austin's Wage Theft Ordinance Responsibility Criteria, applicable to IFB 5000 JRN1037 for Compressed Medical-Grade Oxygen. The solicitation posting date is February 16, 2026. Any employer submitting an offer to the City must complete this certification prior to contract award, confirming that the firm has not been adjudicated for wage theft-related incidents as defined in Austin City Code Chapter 4, Section 4-22-1(G) and (H) within five years prior to the solicitation date. Additionally, all employers awarded a contract with the City are required to complete the City of Austin Wage Theft Training within 30 days of contract award by registering with the Wage Compliance Team.
The certification requires the authorized representative of the firm to sign and attest under penalty of perjury under Texas law that the company meets the wage theft responsibility criteria and agrees to abide by the requirements outlined in Austin City Code Section 4-22-5(B) and Section 4-22-6(A). The form requires the full legal entity name of the firm, the signature and printed name of the authorized person making the certification, their title, the city and state where signed, and the date of certification. Questions regarding the wage theft ordinance and certification requirements should be directed to wagetheft@austintexas.gov.
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Other files
| File | Type | Posted |
|---|---|---|
| IFB_5000_JRN1037_ATT_6_v1.docx | DOCX document | |
| IFB_5000_JRN1037_ATT_4_v1.docx | DOCX document | |
| IFB_5000_JRN1037_ATT_2_v1.xlsx | XLSX spreadsheet | |
| IFB_5000_JRN1037_PAC1_9_v4.pdf | ||
| IFB_5000_JRN1037_ATT_1_v1.docx | DOCX document | |
| IFB_5000_JRN1037_ATT_8_v1.docx | DOCX document | |
| IFB_5000_JRN1037_ATT_5_v1.docx | DOCX document | |
| IFB_5000_JRN1037_ADD_3_v1.pdf | ||
| IFB_5000_JRN1037_ATT_9_v1.pdf | ||
| IFB_5000_JRN1036_PAC1_v1.pdf | ||
| IFB_5000_JRN1037_ATT_3_v1.docx | DOCX document | |
| IFB_5000_JRN1037_PAC1_9_v2.pdf | ||
| IFB_5000_JRN1037_ADD_1_v1.pdf | ||
| IFB_5000_JRN1037_PAC1_9_v3.pdf | ||
| IFB_5000_JRN1037_ADD_2_v1.pdf |
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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: IFB 5000 JRN1037
Solicitation Posting Date or Agreement Start Date: 02/16/2026
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 .