Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Solicitation number
- 24/25-119
- 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 standard payment verification document that requires the vendor to certify the accuracy of payment amounts and confirm that all work has been performed in accordance with contract terms. The vendor must attest that all subcontractors and suppliers have been or will be paid their appropriate shares within specific timeframes (10 days for the main contractor, and 7 days for subsequent subcontractors).
The document provides a template for tracking partial payments on a contract, with blank spaces for payment number, total amount due, date, vendor name, and authorized signature. The certificate includes important financial accountability provisions, such as confirming that all work is completed as specified, materials have been applied correctly, and that payment cascades appropriately through the contractor and subcontractor hierarchy. While no specific project details are included in this generic form, it represents a standard financial documentation method for managing progressive payments on government or municipal contracts.
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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 .