Certificate_of_partial_payment.pdf
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- Solicitation number
- 26/27-003
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form designed for use in a Public-Private Partnership (P3) project to design, build, finance, operate, and maintain the Clay County Regional Sports Complex Expansion in Florida. The certificate serves as a payment authorization document for vendors and contractors working on the project. The form includes sections for recording the payment number and total amount due for each payment installment, allowing for progress-based compensation throughout the contract term.
The certificate requires vendor certification that all work has been performed and materials applied in accordance with contract terms and conditions. The vendor must certify that all subcontractors and suppliers have received their pro rata shares of previous payments and that payment will be remitted to all subcontractors and suppliers within 10 days of receipt, with subcontractors required to remit payment to their own subcontractors and suppliers within 7 days thereafter. The form includes fields for the payment date, vendor name, and authorized signature, establishing a clear payment chain to ensure all parties in the supply and service delivery hierarchy receive timely compensation for work completed and materials furnished. The certificate operates within Clay County's established procurement policies, including local preference and Buy American provisions.
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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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