IFB_5000_JRN1037REBID_ATT_7_v1.docx
DOCX document 40 KB Posted
- Attached to
- Compressed Medical-Grade Oxygen
- Solicitation number
- IFB 5000 JRN1037REBID
- Issued by
- Texas
About this file
This is an Employer Certification form for the Wage Theft Ordinance responsibility criteria required by the City of Austin for contract award. The document applies to IFB 5000 JRN1037REBID, a solicitation for compressed medical-grade oxygen posted on May 25, 2026. All employers submitting offers for City of Austin contracts must complete this certification prior to award, confirming 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 the five years preceding the solicitation posting date. The form requires an authorized representative of the firm to certify under penalty of perjury that the company meets this responsibility criterion and agrees to comply with the requirements outlined in Austin City Code sections 4-22-5(B) and 4-22-6(A).
Additionally, all employers awarded a City of Austin contract are required to complete the City of Austin Wage Theft Training within 30 days of contract award. The certification form must be signed by an authorized person and include the firm's full legal entity name, the signatory's printed name and title, the city and state where signed, and the date of execution. Questions regarding this certification requirement or wage theft compliance should be directed to the Wage Compliance Team at wagetheft@austintexas.gov. The form was revised on September 14, 2023.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| IFB_5000_JRN1037REBID_ATT_4_v1.docx | DOCX document | |
| IFB_5000_JRN1037REBID_ATT_9_v1.pdf | ||
| IFB_5000_JRN1037REBID_ATT_1_v1.docx | DOCX document | |
| IFB_5000_JRN1037REBID_ATT_6_v1.docx | DOCX document | |
| IFB_5000_JRN1037REBID_PAC1_v1.pdf | ||
| IFB_5000_JRN1037REBID_ATT_2_v1.xlsx | XLSX spreadsheet | |
| IFB_5000_JRN1037REBID_ATT_3_v1.docx | DOCX document | |
| IFB_5000_JRN1037REBID_ATT_5_v1.docx | DOCX document | |
| IFB_5000_JRN1037REBID_ATT_8_v1.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 JRN1037REBID
Solicitation Posting Date or Agreement Start Date: 05/25/2026
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 .