IFB_5000_MAS1001REBID_ATT_9_v1.docx

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Attached to
HD-5 Propane Supply and Delivery
Solicitation number
IFB 5000 MAS1001REBID
Issued by
Texas

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Written by GovTribe AI ·

This file is an Employer Certification form for the City of Austin's Wage Theft Ordinance Responsibility Criteria, related to IFB 5000 MAS1001 for HD-5 Propane Supply and Delivery in Texas. The certification requires all employers submitting offers to the City 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 of January 5, 2026. All awarded contractors are required to complete City of Austin Wage Theft Training within 30 days of contract award, with registration coordinated through the Wage Compliance Team.

The certification document requires the authorized representative of the firm to provide their signature, printed name, title, location, and date of signing on the form. Firms must certify that they agree to abide by the items outlined in Austin City Code sections 4-22-5(B) and 4-22-6(A). Contractors with questions regarding the wage theft certification or training requirements should contact the Wage Compliance Team at wagetheft@austintexas.gov. This certification represents a mandatory responsibility criterion for contract award and is not optional for any employer seeking to do business with the City of Austin.

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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:IFB 5000 MAS1001
Solicitation Posting Date or Agreement Start Date:January 5, 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 .