Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- Omega Park CCUA Connection State and local contract opportunity
- Solicitation number
- 25/26-007
- Issued by
- Clay County, Miramar Beach 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 featuring a tree and water scene. 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 full accordance with contract terms. The vendor must attest that all subcontractors and suppliers have been provided their proportionate payment shares, with specific requirements for remitting payments within defined timeframes (10 days for the primary contractor and 7 days for subcontractors).
The document includes blank spaces for Payment Number, Total Due This Payment, Date, Vendor Name, and Vendor Signature, indicating it is a templated form to be filled out for each progressive payment during a contract's execution. The form emphasizes transparency and timely payment distribution among all parties involved in the contract, with specific provisions to ensure subcontractors and suppliers receive their due compensation promptly after the prime contractor receives payment.
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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 .