IFB_7800_MLJ1045_ATT_5_v1.docx

DOCX document 43 KB Posted

Attached to
Custom Tarps, Replacement Parts, & Repair Services
Solicitation number
IFB 7800 MLJ1045
Issued by
Texas

About this file

This is an Employer Certification form for the City of Austin's Wage Theft Ordinance responsibility criteria related to a Custom Tarps, Replacement Parts, and Repair Services contract. The solicitation involves providing custom tarps, tarp replacement parts, and repair services for City vehicles and equipment, including dump trucks, dump trailers, refuse and waste trucks, fire apparatus ladder trucks, and fire pumper trucks. The solicitation posting date or agreement start date is October 2026. All employers submitting offers to the City must complete this certification prior to contract award and are required to complete the City of Austin Wage Theft Training within 30 days of being awarded a contract.

The certification requires that employers certify under penalty of perjury under Texas law 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 stated date. Furthermore, firms must agree to abide by the items outlined in sections 4-22-5(B) and 4-22-6(A) of the Austin City Code. The form requires the authorized signatory to provide the firm's full legal entity name, their printed name and title, the place and date of signing, and must be completed in accordance with Ordinance No. 20221201-031. Questions regarding the wage theft program can 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:
Custom Tarps, Replacement Parts, and Repair Services
Solicitation Posting Date or Agreement Start Date:
October 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 .