Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Solicitation number
- 24/25-089
- Issued by
- Clay County, Orlando City, Florida
About this file
The document is a Certificate of Partial Payment form from Clay County, Florida, designed to certify the progress and payment details for a contract. This specific certificate relates to the CDBG (Community Development Block Grant) home rehabilitation project for 202 Foxridge Road in Orange Park, Florida. The form provides a standardized method for the vendor to confirm that all work has been performed in accordance with contract terms and that all subcontractors and suppliers have been or will be appropriately compensated.
The certificate requires the vendor to verify several key financial and operational details, including confirming the correctness of items and amounts, certifying full compliance with contract conditions, and ensuring timely payment to subcontractors and suppliers. The vendor must specifically commit to remitting payment to subcontractors within 10 days of receiving payment, with subsequent subcontractors required to pay their own suppliers within 7 days. Blank fields are provided for the payment number, total payment due, date, vendor name, and an authorized signature, allowing the document to be customized for each specific payment milestone in the project.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CDBG_-_202_Foxridge_Road_Home_Rehabilitation_(Re-Bid).pdf | ||
| Warranty_Letter_.pdf | ||
| EFT_FORM.pdf | ||
| W-9_(2024).pdf | ||
| Certificate_of_final_payment.pdf | ||
| 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 .