Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- Construction Manager at Risk (CMAR) for the Substance Use Disorder Recovery Center State and local contract opportunity
- Solicitation number
- 24/25-127
- Issued by
- Clay County, Harold CDP, Florida
About this file
This document is a Certificate of Partial Payment form from a county in Florida, as indicated by the county seal. The form is designed for a vendor to certify that work has been performed and materials applied in accordance with contract terms. The certificate requires the vendor to confirm that all subcontractors and suppliers have been paid their pro rata shares from previous progress payments, with any retainage withheld as per agreement.
The document outlines specific payment disbursement requirements, including that the contractor must remit payment to subcontractors and suppliers within 10 days of receiving payment, and those subcontractors must then pay their own subcontractors and suppliers within 7 days. The form has blank spaces for the payment number, total amount due, date, vendor name, and signature, indicating it is a template to be filled out for each partial payment in a contract.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Construction_Manager_at_Risk_(CMAR)_for_the_Substance_Use_Disorder_Recovery_Center.pdf | ||
| Owner-Direct_Purchase_Programs_Public_Works_Contracts.pdf | ||
| 2023-2024-150_FDCF_Fixed_Capital_Outlay_Grants_&_Aids_signed_-_signed.pdf | ||
| Appendix_II_for_2_CFR_Part_200.pdf | ||
| Certificate_of_final_payment.pdf | ||
| W-9_(2024).pdf | ||
| Chapter_8_Section_I_(1).pdf | ||
| EFT_FORM.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 .