Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Solicitation number
- 25/26-119
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form related to a milling and resurfacing project for County Road 220 Phase 2 in Clay County, Florida. The certificate serves as a vendor payment authorization document for progress payments on the road construction contract, which involves milling approximately 1.75 inches of existing asphalt pavement and resurfacing with 2 inches of Asphaltic Concrete SP-12.5 in accordance with Florida Department of Transportation standards. The project includes maintenance of traffic, quality control, pavement markings, daily cleanup, and associated work, with construction scheduled during nighttime hours between 7:00 p.m. and 5:30 a.m. to maintain access throughout the construction period.
The certificate requires the vendor to certify that all work has been performed and materials applied in accordance with contract terms and conditions. The vendor must confirm that all subcontractors and suppliers have received their pro rata shares from previous payments, with the prime contractor required to remit undisputed costs to subcontractors and suppliers within 10 days of payment receipt. Subcontractors must similarly remit payment to their hired subcontractors and suppliers within 7 days of receiving payment. The form includes designated fields for payment number, total amount due, date, vendor name, and authorized signature, establishing the documentation framework for tracking and processing progress payments throughout the project execution.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| County_Road_220_Phase_2_–_Milling_and_Resurfacing.pdf | ||
| updated_Map_CR220_.pdf | ||
| Chapter_8_Section_I.pdf | ||
| Certificate_of_final_payment.pdf | ||
| W-9_(2024).pdf | ||
| Warranty_Letter_.pdf | ||
| EFT_FORM.pdf | ||
| Performance_&_Paymt_Bond.doc | DOC document | |
| Owner_Direct_Purchase_Program.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 .