IFB_7800_MAS1013_ATT_13_v1.docx

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Attached to
Inspection and Testing of Aerial Devices and Ground Ladders
Solicitation number
IFB 7800 MAS1013
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 the Inspection and Testing of Aerial Devices and Ground Ladders solicitation (IFB 7800 MAS1013) posted on September 21, 2026. The certification requirement applies to all employers submitting offers to the City of Austin for contract award consideration. Any awarded contractor must complete the City of Austin Wage Theft Training within 30 days of contract award. The form requires the authorized representative of the bidding firm to certify under penalty of perjury that the 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 the solicitation posting date.

The certification form requires firms to 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 includes signature lines for the authorized certifying officer, printed name, title, location, and date of certification. Bidders with questions regarding the wage theft certification requirements or training registration should contact the City of Austin Wage Compliance Team at 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 7800 MAS1013 Inspection and Testing of Aerial Devices/Ground Ladders
Solicitation Posting Date or Agreement Start Date:
September 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 .