Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- Cellular Professional Archiving FY25/26
- Solicitation number
- 25/26-101
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form intended for use in state and local construction or services contracts, applicable to the Florida County's Cellular Professional Archiving FY25/26 project. The certificate serves as a payment authorization document that vendors complete to request payment for work performed or materials supplied during a specific billing period. The form requires the vendor to certify the accuracy of all items and amounts listed, confirm that all work has been performed in accordance with contract terms, and document that subcontractors and suppliers with interests in the contract have received their pro rata shares from previous progress payments. The certificate includes spaces for payment number entry, total amount due for the current payment period, vendor identification, authorization signature, and date of submission.
The certificate establishes strict payment distribution timelines requiring the prime contractor to remit payment to direct subcontractors and suppliers within ten days of receipt, and obligating subcontractors to remit payment to their hired subcontractors and suppliers within seven days thereafter. This payment structure ensures that all parties providing labor, services, or materials have access to funds corresponding to their documented contributions reflected in the payment application. The form functions as a certification mechanism that protects the County's interests by requiring vendor attestation that all contractual obligations have been met and that payment distribution requirements are understood and will be executed according to the specified timeframes.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Cellular_Professional_Archiving_FY25_26.pdf | ||
| DLT_Quote_(5444449)_[Ref_2021615].pdf | ||
| Certificate_of_final_payment.pdf | ||
| EFT_FORM.pdf | ||
| W-9_(2024).pdf | ||
| Warranty_Letter_.pdf | ||
| Performance_&_Payment_Bond.doc | DOC document |
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Text version
CERTIFICATE OF PARTIAL PAYMENT
PAYMENT # __________
TOTAL DUE THIS PAYMENT_______________
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. I further certify that within 10 days after receipt of payment hereon the contractor shall remit payment due to those subcontractors and suppliers hired by the contractor that furnished labor, services, or materials, the undisputed cost of which to the contractor is reflected in the payment application for which this certificate is issued. I further certify that the contractor will ensure that any subcontractor receiving such payment shall within 7 days thereafter remit payment due to subcontractors and suppliers hired by the subcontractor that furnished labor, services, or materials, the cost of which to the subcontractor is reflected in the payment application for which this certificate is issued.
Date: __________ Vendor: ________________________________________ By: ___________
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