Tennessee Form Cc 3 PDF Details

In the realm of supporting and advocating for the inclusion of disadvantaged business enterprises (DBEs) within the sphere of governmental contracts, the Tennessee Department of Transportation has instituted a pivotal mechanism known as the CC-3 form. This document serves as a certification regarding payments made to DBEs, assuring that these businesses have been compensated fully in accordance with the terms of their contracts for the actual work performed. The form, essential for the Small Business Development Program's project files, mandates a declaration from both the owner or authorized representative of the prime contractor and the DBE involved. The document meticulously records the amount agreed upon in the subcontract, alongside the name of the DBE firm, thereby fostering transparency and accountability in the allocation of contracts to disadvantaged enterprises. Moreover, it underscores the importance of due authorization in making such certifications, emphasizing the legal and ethical responsibilities of the parties involved. Updated versions as of January 4, 2010, and February 28, 2013, reflect ongoing efforts to refine the process, ensuring that payments to DBEs are handled with the utmost integrity and fairness, reinforcing the commitment to bolstering the contributions of disadvantaged businesses in the public contracting arena.

QuestionAnswer
Form NameTennessee Form Cc 3
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespmt, CERTIFICATION, DBE, tdot cc3

Form Preview Example

 

 

 

 

CC-3

 

TENNESSEE DEPARTMENT OF TRANSPORTATION

 

 

 

SMALL BUSINESS DEVELOPMENT PROGRAM

 

 

 

PROJECT FILES SHOULD NOT BE ACCEPTED AS FINAL WITHOUT THIS FORM INCLUDED

 

CERTIFICATION REGARDING MONEY PAID TO DISADVANTAGED BUSINESS ENTERPRISES

I,

 

, certify that to the best of my knowledge,

 

 

,

 

Name of Owner or Authorized Representative

Name of DBE

has been paid in full, per the amount of the contract for actual work performed on:

Contract No., County, as of

I further certify that I am duly authorized to make this certification on behalf of the named contractor.

 

DISADVANTAGED BUSINESS ENTERPRISE

 

AMOUNT

 

 

 

 

 

Original DBE

 

 

Firm Name

 

 

Subcontract $

 

 

 

 

 

Original DBE

 

 

 

 

 

Subcontract

 

PRIME

 

 

Date

 

CONTRACTOR:

 

 

 

 

 

SIGNATURE:

 

 

 

Paid to date

 

TITLE:

 

 

 

Est. final pmt.

 

DATE:

 

 

TOTAL

 

 

 

 

 

 

 

 

 

 

 

 

I,

 

, certify that to the best of my knowledge,

 

,

 

Name of DBE Owner or Authorized Representative

Name of Contractor

has paid the named DBE, in full, per the amount of the contract for actual work performed on:

Contract No., County, as of

I further certify that I am duly authorized to make this certification on behalf of the named contractor.

DISADVANTAGED BUSINESS ENTERPRISE

 

AMOUNT

 

 

 

 

Original DBE

 

Firm Name

 

 

Subcontract $

 

 

 

 

Original DBE

 

 

 

 

Subcontract

 

 

 

 

Date

SIGNATURE:

 

 

 

Paid to date

TITLE:

 

 

 

Est. final pmt.

DATE:

 

 

 

TOTAL

Rev. 1/4/10, 2/28/13