Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Solicitation number
- 25/26-002
- 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 form is designed for a vendor to certify the completion of work and the accurate reporting of payment details for a contract. The certificate requires the vendor to confirm that all work has been performed in accordance with contract terms, all subcontractors and suppliers have been appropriately compensated, and that subsequent payments to subcontractors will be made within specified timeframes (10 days for the primary contractor and 7 days for subsequent subcontractors).
The document includes placeholders for specific payment information such as the payment number and total amount due, which are to be filled in at the time of use. The form mandates that the vendor verify the correctness of items and amounts, ensure proper distribution of payments to subcontractors and suppliers, and acknowledge any retainage withheld under subcontractor agreements. The form is to be dated and signed by the vendor, providing a formal certification of the payment's accuracy and compliance with contractual obligations.
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| CDBG_-_4087_Pinto_Road_Home_Rehabilitation_-_Water_Well.pdf | ||
| Warranty_Letter_.pdf | ||
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| Certificate_of_final_payment.pdf | ||
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| Performance_&_Payment_Bond.doc | DOC document |
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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 .