Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Solicitation number
- 25/26-104
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form related to the Clay County Board of County Commissioners' Annual Roadway Striping and Pavement Marking Services contract in Florida. The document serves as a vendor certification instrument for progress payments on roadway and parking lot striping projects throughout Clay County. The certificate requires vendors to certify that all items, amounts, work performance, and material application comply with contract terms and conditions, and that all subcontractors and suppliers have received their proportionate shares from previous progress payments with any applicable retainage withheld.
The certificate establishes specific payment distribution timelines requiring the prime contractor to remit payment to subcontractors and suppliers within 10 days of receipt, and mandating that any subcontractor receiving such payment must remit payment to their own subcontractors and suppliers within 7 days thereafter. The form includes designated spaces for payment number, total amount due, certification date, vendor identification, and authorized signature, functioning as a control mechanism to ensure compliance with payment obligations throughout the contractor and subcontractor network on Clay County roadway striping projects.
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Other files
| File | Type | Posted |
|---|---|---|
| Annual_Roadway_Striping_and_Pavement_Marking_Services.pdf | ||
| W-9_(2024).pdf | ||
| Warranty_Letter_.pdf | ||
| Certificate_of_final_payment.pdf | ||
| Chapter_8_Section_I.pdf | ||
| EFT_FORM.pdf | ||
| Owner_Direct_Purchase_Program.pdf | ||
| Performance_&_Paymt_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: ___________
File details come from the government source that posted it. Updated .