Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- Cellular Professional Archiving
- Solicitation number
- 24/25-105
- Issued by
- Clay County, Harold CDP, Florida
About this file
The document is a Certificate of Partial Payment form from a Florida county, designed to certify vendor payment and compliance with contract payment terms. The form requires the vendor to confirm that all work has been performed according to contract specifications, all subcontractors and suppliers have received their proportionate payment shares, and establishes a payment cascade requiring the prime contractor to remit payment to subcontractors within 10 days of receipt, with subsequent subcontractors required to pay their suppliers within 7 days.
The certificate includes placeholder fields for payment number, total payment amount, vendor name, date, and signature, indicating it is a standardized template for tracking and documenting progressive payments during the course of a contract. The form is branded with the county's official seal, which features a scenic landscape and the motto "In God We Trust", suggesting this is an official government document used to process and validate partial payments for ongoing project work.
View the file
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| File | Type | Posted |
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| Cellular_Professional_Archiving.pdf | ||
| DLT_Quote_(5324645)_[Ref_1934498].pdf | ||
| EFT_FORM.pdf | ||
| W-9_(2024).pdf | ||
| Warranty_Letter_.pdf | ||
| Performance_&_Payment_Bond.doc | DOC document | |
| Certificate_of_final_payment.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 .