Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Solicitation number
- 24/25-111
- Issued by
- Clay County, Harold CDP, Florida
About this file
This document is a Certificate of Partial Payment form from Clay County, Florida, designed to document and certify a progress payment for a contract. The form requires the vendor to certify that all work performed and materials applied comply with the contract terms, and that all subcontractors and suppliers have been or will be paid appropriately. The vendor must confirm that within 10 days of receiving payment, they will remit funds to subcontractors and suppliers for their completed work, and that any subcontractor receiving payment must similarly pay their own subcontractors within 7 days.
The document provides a standardized template for tracking partial payments, with blank spaces for specific payment number, total amount due, date, vendor name, and authorized signature. The form includes the Clay County official seal and demonstrates a systematic approach to managing contract payments, ensuring transparency and timely compensation for all parties involved in the project. While no specific project details are provided in this document, it serves as a critical financial accountability mechanism for county contract management.
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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 .