IFB_6200_BYS1062_ATT_5_v1.docx

DOCX document 43 KB Posted

Attached to
Span Wire and Communications Supplies
Solicitation number
IFB 6200 BYS1062
Issued by
Texas

About this file

This is an Employer Certification form for the City of Austin's Wage Theft Ordinance responsibility criteria, applicable to any employer submitting an offer for a City of Austin contract. The certification requires employers to attest under penalty of perjury that their firm has 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 contract submission. All employers awarded contracts with the City must complete the City of Austin Wage Theft Training within 30 days of award. The form requires completion by an authorized representative and includes fields for firm name, authorized signature, printed name and title of the certifying person, location, and date of certification.

The certification is a mandatory responsibility criterion requiring employers to certify compliance with and agreement to abide by the provisions outlined in Austin City Code Sections 4-22-5 (B) and 4-22-6 (A). No pricing information, set-asides, or funding sources are addressed in this document. Employers with questions or requiring additional information regarding the wage theft program should contact 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 .