Certificate_of_partial_payment.pdf
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- Solicitation number
- 25/26-110
- Issued by
- Clay County, Harold CDP, Florida
About this file
This document is a Certificate of Partial Payment form designed for use by vendors contracted with Clay County, Florida to provide grapple/roll-off container services to the County's Environmental Convenience Centers, Rosemary Hill Solid Waste Management Facility, and other County-owned facilities. The certificate serves as an official payment authorization document that vendors complete to certify the accuracy of work performed, materials applied, and payment amounts in accordance with the contract terms and conditions.
The certificate requires the vendor to certify that all work has been completed and materials furnished in full compliance with contract specifications, and that all subcontractors and suppliers have received their pro rata shares from previous progress payments. The vendor must also certify that within ten days of receiving payment, all subcontractors and suppliers will be paid for their undisputed costs reflected in the payment application, and that any subcontractor receiving such payment shall remit payment due to its own subcontractors and suppliers within seven days. The form includes designated fields for the payment number, total amount due, date, vendor name, and authorized signature, establishing a clear documentation trail for the partial payment process throughout the contract term.
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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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