IFB_8600_BYS1053_ATT_5_v1.docx

DOCX document 40 KB Posted

Attached to
Decomposed Granite Gravel Purchase and Delivery
Solicitation number
IFB 8600 BYS1053
Issued by
Texas

About this file

This is an Employer Certification form for the Wage Theft Ordinance Responsibility Criteria required by the City of Austin for all employers submitting offers on city contracts, specifically applicable to the Decomposed Granite Gravel Purchase and Delivery contract in Texas. All employers bidding on City of Austin contracts must complete this certification form prior to contract award, certifying 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 the five years preceding the solicitation posting date. Additionally, all employers awarded a contract with the City must complete the City of Austin Wage Theft Training within 30 days of contract award, with registration coordinated through the Wage Compliance Team at wagetheft@austintexas.gov.

The certification requires the authorized representative of the firm to sign and provide their printed name, title, location, and date on the form. By executing this certification, employers agree to abide by the requirements outlined in Austin City Code sections 4-22-5(B) and 4-22-6(A). The form must be submitted as part of the bid package for consideration. This requirement is based on City of Austin Ordinance No. 20221201-031 and applies to all contract opportunities with the City regardless of contract value or type.

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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:

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:

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 .