Certificate_of_partial_payment.pdf
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- Attached to
- Construction of Clay County Fire Station No. 24
- Solicitation number
- 25/26-042
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form associated with the Clay County Board of County Commissioners' construction project for Fire Station No. 24 located at 1075 County Road 226 in Green Cove Springs, Florida. The certificate serves as a vendor payment authorization document for progress payments during the construction phase of the project. The form requires the vendor to certify that all work has been performed and materials applied in accordance with the contract terms and conditions, and that all subcontractors and suppliers have received their proportionate shares of previous payments for completed work and furnished materials.
The certificate establishes critical payment distribution requirements whereby the prime contractor must remit payment to subcontractors and suppliers within 10 days of receiving payment, and any subcontractor receiving payment must distribute funds to its own subcontractors and suppliers within 7 days. This cascading payment structure ensures that all parties contributing labor, services, and materials down the supply chain receive timely compensation for undisputed costs reflected in the payment application. The form requires completion of payment number, total amount due, date, vendor name, and authorized signature fields to process partial payments throughout the construction contract period.
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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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