Certificate_of_partial_payment.pdf
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- 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 Certificate of Partial Payment form is associated with the Omega Park CCUA Connection project issued by Clay County, Florida for utility infrastructure improvements at Omega Community Park. The project requires contractors to furnish and install approximately 190 linear feet of 8" PVC gravity sewer main, 335 linear feet of 2" water service, and 484 linear feet of 2" force main, along with tapping into existing Clay County Utility Authority (CCUA) systems, decommissioning septic tanks, constructing a lift station, and performing site restoration. A mandatory pre-bid meeting is scheduled for October 30, 2025, at 1:00 PM at the park location (4317 County Road 218, Middleburg, FL), with bids due November 20, 2025, at 4:00 PM. The project has a substantial completion timeline of 120 days from the Notice to Proceed, with final completion within 150 calendar days. Contractors must have been in business for a minimum of 5 years performing similar work and may be required to provide equipment and personnel lists.
The award will be made to the lowest responsive and responsible bidder, with a 5% bid bond required. The total connection charges for the project amount to $27,670.30, comprising potable water capacity charges, alternative water supply surcharges, wastewater capacity charges, and environmental impact charges. The procurement does not specify explicit set-aside designations or restrictions for disadvantaged enterprises. Bidders must comply with comprehensive insurance requirements including commercial general liability, business automobile liability, workers' compensation, and property coverage. The project will be funded by Clay County, with utility service connection fees paid by the county. Chen Moore and Associates is serving as the engineering design firm for the project.
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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: ___________
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