Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Solicitation number
- 25/26-102
- Issued by
- Clay County, Miramar Beach CDP, Florida
About this file
This is a Certificate of Partial Payment form for use in the Clay County Outdoor Adventure Park Shooting Range Baffle Installation project located at 3829 Sergeant Bradley Crose Road, Middleburg, Florida. The certificate serves as a vendor attestation document accompanying progress payment requests during construction. The vendor certifies 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 from previous progress payments. The form includes fields for payment number, total amount due, date, vendor name, and authorized signature.
The certificate establishes specific payment distribution requirements and timelines for the prime contractor and subcontractors. The prime contractor must remit payment to first-tier subcontractors and suppliers within 10 days of receiving payment, with the undisputed cost of labor, services, and materials reflected in the payment application. Any subcontractor receiving such payment must further remit payment to their own subcontractors and suppliers within 7 days thereafter for work and materials documented in the application. These provisions ensure prompt payment flow throughout the project supply chain while protecting the interests of all parties involved in the shooting range baffle installation work.
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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 .