Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- Fire Station 17 Shower Remodel
- Solicitation number
- 25/26-098
- Issued by
- Clay County, Orlando City, Florida
About this file
This is a Certificate of Partial Payment form used for the Fire Station 17 Shower Remodel project in Clay County, Florida. The document serves as a vendor certification mechanism for progress payments on the bathroom renovation project located at 3394 Peoria Road, Orange Park, Florida 32065. The certificate requires the vendor to certify that all work has been performed and materials applied in accordance with contract terms and conditions, and that all subcontractors and suppliers have received their proportionate shares of previous progress payments.
The certificate establishes specific payment flow requirements and timelines for the contractor and its subcontractors. The prime contractor must remit payment to subcontractors and suppliers within 10 days of receipt of payment, and any subcontractor receiving such payment must remit payment to its own subcontractors and suppliers within 7 days thereafter. The document requires the vendor to certify compliance with these payment obligations and includes blank fields for the payment number, total amount due, date, and vendor authorization signature. This form is a standard administrative tool used to document partial progress payments and ensure compliance with payment distribution obligations throughout the subcontracting 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: ___________
File details come from the government source that posted it. Updated .