Certificate_of_final_payment.pdf
PDF 84 KB Posted
- Attached to
- Indigent Decedent Services
- Solicitation number
- 25/26-105
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Final Payment form associated with Clay County, Florida's Unclaimed Decedent Disposition Program (UDDP), which seeks a qualified funeral home to provide indigent and unclaimed decedent disposition services. The certificate serves as the final payment documentation for contracted services under this solicitation. The form requires vendor certification that all work has been completed and materials have been supplied in accordance with contract terms and conditions, and that all subcontractors and suppliers have received their pro rata shares of previous progress payments less any retained amounts.
The certificate establishes payment obligations and verification requirements, mandating that the vendor certify within ten days of receiving the final progress payment that all subcontractors and suppliers with interests in the contract will be paid their pro rata shares for completed work and furnished materials. The form includes fields for payment number, final payment due date, vendor name, authorized signature, and certification date, serving as official documentation of contract completion and financial settlement between Clay County and the awarded funeral home service provider.
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Other files
| File | Type | Posted |
|---|---|---|
| Indigent_Decedent_Services.pdf | ||
| Unavailable_Funds_Statement_(7).pdf | ||
| Release_of_Remains_form_(4).docx | DOCX document | |
| Authorization_to_Cremate_(5).pdf | ||
| Decedent_Disposition_Eligibility_(2).pdf | ||
| Authorization_for_Unclaimed_Cremation_(6).docx | DOCX document | |
| Program_Checklist_(3).pdf | ||
| Unclaimed_Application_(1).pdf | ||
| Unclaimed_Decedent_Disposition_Policy.pdf | ||
| Certificate_of_partial_payment.pdf | ||
| EFT_FORM.pdf | ||
| W-9_(2024).pdf | ||
| Chapter_8_Section_I_(1).pdf | ||
| Warranty_Letter_.pdf |
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Text version
CERTIFICATE OF FINAL PAYMENT
PAYMENT # __________
FINAL PAYMENT DUE: _______________
CERTIFICATE OF THE VENDOR: According to the best of my knowledge and belief, I certify that all items and amounts shown on the face of this certificate are correct and that all work has been performed and/or material applied in full accordance with the terms and conditions of the contract. I further certify that all subcontractors and suppliers having an interest in the contract have been provided their pro rata shares of the payment out of previous progress payments received for all work completed and materials furnished in the previous period, less any retainage withheld by the prime contractor pursuant to an agreement with a subcontractor. In addition, I certify that within 10 days of receipt of the final progress payment all subcontractors and suppliers having an interest in the contract will be paid their pro rata shares of the payment for all work completed and materials furnished.
Date: __________ Vendor: ________________________________________ By: ___________
File details come from the government source that posted it. Updated .