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Get the free Certification of Final DBE Payments (Form 110C) - azdot

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ARIZONA DEPARTMENT OF TRANSPORTATION CONSTRUCTION CERTIFICATION OF FINAL DISADVANTAGED BUSINESS ENTERPRISE (BE) PAYMENTS (Submit form for each BE working on the contract)The undersigned Contractor
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How to fill out certification of final dbe:

01
Obtain the certification of final dbe form from the relevant authority or agency.
02
Fill in the necessary details, such as the project information, including the name and location of the project, as well as the contract and project number.
03
Provide the name and contact information of the dbe firm, including the business name, address, phone number, and email.
04
Indicate the percentage of work performed by the dbe firm and provide evidence supporting this claim, such as invoices, timesheets, or other relevant documents.
05
Sign and date the certification form, ensuring that all information provided is accurate and truthful.
06
Submit the completed certification of final dbe form to the appropriate authority or agency.

Who needs certification of final dbe:

01
Contractors or project managers who have hired dbe firms to perform work on projects that involve federal funding or are subject to dbe participation requirements.
02
Government agencies, transportation departments, or other entities overseeing the project that require certification of the dbe firm's participation and the final dbe's compliance with the agreed-upon goals and requirements.
03
Any party involved in the project, such as subcontractors or material suppliers, who may need to demonstrate compliance with dbe participation requirements.
Please note that specific requirements and procedures for filling out the certification form may vary depending on the jurisdiction and agency involved. It is important to follow the instructions provided with the form and consult any additional guidelines or resources provided by the relevant authority.
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Certification of final dbe is a document verifying that a Disadvantaged Business Enterprise has met all requirements and completed work on a project.
The prime contractor or project manager is required to file the certification of final dbe.
To fill out the certification of final dbe, the contractor must provide details of the DBE, work completed, and sign off on the certification stating all work is done.
The purpose of certification of final dbe is to ensure that DBEs are given credit for work completed on a project and to track their participation.
The certification of final dbe must include details of the DBE, work performed, dates of work, and certification that all work is completed.
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