Certificate_of_partial_payment.pdf

PDF 113 KB Posted

Attached to
Waste Tire Disposal Services
Solicitation number
24/25-124
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 evidenced by the county seal. The certificate is a standardized payment verification document used to certify the accuracy of work completed and payments to be distributed among contractors and subcontractors. The form requires the vendor to certify that all work performed and materials applied comply with the contract terms and conditions.

The certificate includes specific payment distribution requirements, mandating that the primary 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 document contains blank spaces for payment number, total payment due, date, vendor name, and a signature, allowing it to be customized for each specific payment cycle and project. The form ensures transparency and timely payment throughout the contract's supply chain.

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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 .