IFB_6200_TJP1026_ATT_8_v1.docx

DOCX document 40 KB Posted

Attached to
Square Steel Posts, Anchors, and Fasteners for Traffic Signs
Solicitation number
IFB 6200 TJP1026
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 Invitation for Bid (IFB) 6200 TJP1026 for Square Steel Posts, Anchors, and Fasteners for Traffic Signs. The certification requirement applies to all employers submitting offers to the City of Austin prior to contract award. Any contractor awarded a contract with the City must complete the City of Austin Wage Theft Training within 30 days of award. The solicitation posting date or agreement start date is January 12, 2026.

By signing this certification form, employers 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 the five-year period prior to the solicitation date. Additionally, firms agree to comply with the requirements outlined in Austin City Code Chapter 4, Sections 4-22-5(B) and 4-22-6(A). The form requires the authorized representative to provide the firm's legal entity name, signature, printed name, title, location, and date of certification. Questions regarding this requirement should be directed to the Wage Compliance Team at wagetheft@austintexas.gov.

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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 TJP1026

Solicitation Posting Date or Agreement Start Date: 1/12/2026

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 .