IFB_8200_BYS1063_ATT_5_v1.docx

DOCX document 43 KB Posted

Attached to
Air Compressor Preventative Maintenance Services
Solicitation number
IFB 8200 BYS1063
Issued by
Texas

About this file

This document is an Employer Certification form for the City of Austin's Wage Theft Ordinance Responsibility Criteria, implementing City of Austin Ordinance No. 20221201-031. The certification applies to any employer submitting an offer to the City seeking contract award and requires completion prior to contract award. All employers awarded a contract with the City must complete the City of Austin Wage Theft Training within 30 days of contract award by registering with the Wage Compliance Team. The form requires the employer to certify, under penalty of perjury under Texas law, 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 or agreement start date.

The certification form requires completion by an authorized representative of the firm, including the firm's full legal entity name, the signature and printed name of the authorized certifying person, their title, the city and state where signed, and the date of certification. The employer must also agree to abide by the items outlined in Austin City Code Section 4-22-5 (B) and Section 4-22-6 (A). The form defines "wage theft" and "adjudicated" according to the Austin City Code definitions and can be obtained from the 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:
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 .