Certificate_of_partial_payment.pdf

PDF 113 KB Posted

Attached to
Computer-Aided Dispatch, Law Enforcement Records Management and Jail Management System
Solicitation number
24/25-025
Issued by
Clay County, Harold CDP, Florida

About this file

The document is a Certificate of Partial Payment form from Clay County, Florida, which serves as a standardized template for documenting progress payments in government contracts. The form certifies that work has been performed in accordance with contract terms and requires the vendor to confirm that all items and amounts are correct, and that all subcontractors and suppliers have been or will be paid their proportionate shares within specified timeframes (10 days for the primary contractor and 7 days for subcontractors).

The form includes provisions ensuring prompt payment to subcontractors and suppliers, with specific requirements about remitting payments for labor, services, and materials. The document features the Clay County official seal and has blank spaces for payment number, total amount due, date, vendor name, and authorized signature. This certificate is part of the administrative process for the Computer-Aided Dispatch, Law Enforcement Records Management and Jail Management System procurement, which involves multiple public safety agencies including the Clay County Sheriff's Office, Clay County Fire and Rescue, City of Green Cove Springs, and Town of Orange Park.

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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 .