Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- Public Works Stormwater Structure and Box Seal
- Solicitation number
- 25/26-096
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form associated with a Clay County Board of County Commissioners public works contract for manhole rehabilitation at stormwater structures in Florida. The project encompasses work at multiple locations including Silver Bluff Boulevard, 4101 Eagle Landing Parkway, Old Jennings Road, and Henley Road. The certificate serves as documentation for progress payments issued during the execution of the contract work.
The Certificate of Partial Payment establishes payment terms and contractor responsibilities regarding fund distribution to subcontractors and material suppliers. The vendor certifies that all work has been performed and materials applied in accordance with contract terms, and commits to remitting payment to subcontractors and suppliers within ten days of receipt, with subcontractors required to remit payments to their subordinate contractors and suppliers within seven days thereafter. The form includes fields for payment number, total amount due, date of issuance, vendor identification, and authorized signature, functioning as a mechanism to ensure compliance with payment flow-down requirements and timely compensation throughout the contracting chain.
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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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