IFB_5000_MAS1008_ATT_9_v1.docx

DOCX document 43 KB Posted

Attached to
Flexible Base, Surface Rock and 3x5 Rock
Solicitation number
IFB 5000 MAS1008
Issued by
Texas

About this file

This is an Employer Certification form for the City of Austin's Wage Theft Ordinance, issued as part of Invitation for Bid (IFB) 5000 MAS1008 for Flexible Base, Surface Rock, and 3x5-inch Rock. The solicitation was posted on July 21, 2026. All employers submitting offers to the City of Austin are required to complete this certification prior to contract award, confirming 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 posting date. The certification must be signed by an authorized representative of the firm under penalty of perjury under Texas law.

Upon contract award, all employers are required to complete the City of Austin Wage Theft Training within 30 days. Employers must certify their agreement to abide by the provisions outlined in Austin City Code sections 4-22-5(B) and 4-22-6(A). The certification form requires submission of the firm's full legal entity name, the signature and printed name of the authorized certifying person, the certifying person's title, the location where signed, and the date of certification. Questions regarding the wage theft program certification may be directed to wagetheft@austintexas.gov.

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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:
IFB 5000 MAS1008
Solicitation Posting Date or Agreement Start Date:
Posting date: July 21, 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:

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 .