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 is a Certificate of Partial Payment form for use in the Omega Park CCUA Connection project managed by Clay County, Florida. The certificate serves as the vendor's attestation that all work has been performed and materials applied in accordance with contract terms and conditions. The form requires the vendor to certify that all subcontractors and suppliers have received their pro rata shares from previous progress payments and establishes payment flow requirements: the prime contractor must remit payment to first-tier subcontractors and suppliers within 10 days of receipt, and each subcontractor must remit payment to their subcontractors and suppliers within 7 days thereafter. The document includes fields for payment number, total amount due, date, vendor name, and authorized signature.
The certificate establishes payment chain accountability for the utility infrastructure improvement project at Omega Community Park, which involves installing approximately 190 linear feet of 8-inch PVC gravity sewer main, 335 linear feet of 2-inch water service, and 484 linear feet of 2-inch force main. The project timeline allows 120 days for substantial completion and 150 calendar days for final completion from the Notice to Proceed. Clay County will fund the project through utility connection fees totaling $27,670.30, which covers potable water capacity charges, alternative water supply surcharges, wastewater capacity charges, and environmental impact charges. Chen Moore and Associates serves as the engineering design firm. The mandatory pre-bid meeting is scheduled for October 30, 2025, at 1:00 PM at the park location, with bids due November 20, 2025, at 4:00 PM. A 5% bid bond is required, and the county will award based on the lowest responsive and responsible bid.
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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 .