Disabled Veteran Business Enterprise

Cal. Form PUR-006

California Superior Local Rules

SDSC PUR-006 (New 4/13) DISABLED VETERAN BUSINESS ENTERPRISE (DVBE) POST-CONTRACT CERTIFICATION SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO DISABLED VETERAN BUSINESS ENTERPRISE (DVBE) POST-CONTRACT CERTIFICATION Agreement Number: Prime Contractor Name: Pursuant to Mil. & Vet. Code § 999.5(d), th is certification must be completed by all prime contractors who entered into a subcontract with a DVBE, upon completion of an awar ded contract for which a commitment to achieve a DVBE goal was made.

The contractor identified above must pr ovide and certify the information below and must send this form to the Administrative Services Department at the San Diego Superior Court within sixty (60) days of receiving final payment under the Agreement. Failure to return this form as required constitutes a breach of the Agreement. 1. Total amount the prime contractor received under the Agreement: $ 2.

List the name and addres s of each DVBE subcontractor to which t he prime contractor subcontracted work in connection with the Agreement and the amount each DVBE subcontr actor received ( attach additional sheets if necessary): Subcontractor Name and Address Amount Received from Contractor Name: Address: $ Name: Address: $ Name: Address: $ Name: Address: $ Contractor certifies that the information above is accurate, and that all payments under the Agreement have been made to the applicable DVBE subcontractor(s).

Date: Type or print name/title Signature Send completed form to: San Diego Superior Court Attn: Administrative Services Department West Broadway, Room San Diego, CA 92101

Document details

Collection	California Superior Local Rules
Citation	Cal. Form PUR-006
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	5609decda61536303027c0ad730d2d1994049bef

Source file is stored in the law ingest library (pdf).