IFB_6200_JRN1040_ATT_8_v1.docx
DOCX document 40 KB Posted
- Attached to
- Thermal Receipt Paper
- Solicitation number
- IFB 6200 JRN1040
- 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 solicitation IFB 6200 JRN1040 with a posting date of March 9, 2026. Any employer submitting an offer to the City for contract award must complete this certification prior to contract execution. The form requires employers to certify under penalty of perjury that they have not been adjudicated for wage theft-related offenses as defined in Austin City Code Chapter 4, Sections 4-22-1(G) and (H) within the five years preceding the solicitation posting date. Additionally, all employers awarded a City contract must complete the City of Austin Wage Theft Training within thirty days of contract award and register with the Wage Compliance Team.
The certification obligates the submitting firm to comply with the requirements outlined in Austin City Code Sections 4-22-5(B) and 4-22-6(A). The form requires the authorized representative of the firm to provide their signature, printed name, title, and the location and date where the certification was executed. Firms with questions or requiring additional information regarding the wage theft program should contact the Wage Compliance Team at wagetheft@austintexas.gov. This certification requirement was revised as of September 14, 2023.
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Other files
| File | Type | Posted |
|---|---|---|
| IFB_6200_JRN1040_ATT_1_v1.docx | DOCX document | |
| IFB_6200_JRN1040_ATT_9_v1.docx | DOCX document | |
| IFB_6200_JRN1040_ATT_2_v1.xlsx | XLSX spreadsheet | |
| IFB_6200_JRN1040_ATT_10_v1.pdf | ||
| IFB_6200_JRN1040_PAC1_v1.pdf | ||
| IFB_6200_JRN1040_ATT_5_v1.docx | DOCX document | |
| IFB_6200_JRN1040_ATT_6_v1.docx | DOCX document | |
| IFB_6200_JRN1040_ATT_3_v1.docx | DOCX document | |
| IFB_6200_JRN1040_ATT_7_v1.docx | DOCX document | |
| IFB_6200_JRN1040_ATT_4_v1.docx | DOCX document |
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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 6200 JRN1040
Solicitation Posting Date or Agreement Start Date: 03/09/2026
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 .