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  • Osba Schedule 4 - Sbe-mwbe Payment Certification

Get Osba Schedule 4 - Sbe-mwbe Payment Certification

OSBA SCHEDULE 4 SBEM/WBE PAYMENT CERTIFICATION The Prime Contractor is to submit Schedule 4 with its Monthly Payment Request to Palm Beach County to reflect actual payments made to the SBEM/WBE Subcontractor.

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How to fill out the OSBA SCHEDULE 4 - SBE-MWBE PAYMENT CERTIFICATION online

This guide provides step-by-step instructions for filling out the OSBA SCHEDULE 4 - SBE-MWBE PAYMENT CERTIFICATION online. This form is essential for Prime Contractors to document payments made to SBE and M/WBE Subcontractors.

Follow the steps to complete the certification form accurately.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the name of the SBE or M/WBE Subcontractor in the designated field to certify the payment made.
  3. Indicate whether the payment is a monthly or final payment, then input the payment amount in dollars.
  4. Provide the date of the payment by filling in the day, month, and year in the specified fields.
  5. Next, enter the name of the Prime Contractor in the field provided.
  6. Specify the Project Name and Work Order in their respective fields to clearly associate the payment with the correct project.
  7. If applicable, provide details about any Subcontractor intended to receive funds associated with this payment, including their name and the amount to be paid.
  8. Ensure that the Subcontractor signs the form and print their name and title in the respective sections.
  9. Complete the notary section by having a Notary Public witness the signature. Ensure to fill in the details required by the notary, including the commission name and identification verification.
  10. After verifying all information is accurate, save your changes, download the form, print it for record-keeping, or share it as necessary.

Start completing your documents online to ensure timely submission.

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