Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- Clay County Pavement Assessment
- Solicitation number
- 25/26-115
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form used by Clay County Board of County Commissioners in Florida for payment processing on the Pavement Assessment contract. The certificate serves as the vendor's attestation that all work has been performed and materials have been applied in accordance with contract terms and conditions. The form requires the vendor to certify that all subcontractors and suppliers have received their pro rata shares of previous progress payments for completed work, with specific payment timelines established: the prime contractor must remit payment to subcontractors and suppliers within 10 days of receipt, and subcontractors must forward payments to their own subcontractors and suppliers within 7 days thereafter. The certificate includes fields for payment number, total due amount, date, vendor name, and authorized signature.
The document establishes clear payment flow requirements and accountability measures to ensure timely compensation throughout the subcontract chain. By requiring vendor certification of proper payment distribution and adherence to specified timelines, the county protects project stakeholders and maintains transparency in financial transactions. The form does not specify contract amounts, project duration, or other financial terms beyond the payment scheduling requirements, as these elements would be detailed in the underlying contract agreement for the pavement condition survey and pavement management program development for the county's 831 centerline miles of maintained paved roadways.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Clay_County_Pavement_Assessment.pdf | ||
| Certificate_of_final_payment.pdf | ||
| EFT_FORM.pdf | ||
| Chapter_8_Section_I_(1).pdf | ||
| W-9_(2024).pdf |
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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 .