Certificate_of_partial_payment.pdf
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- Solicitation number
- 25/26-061
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form for the Clay County Sheriff's Office Building 500 Renovation project in Fleming Island, Florida. The document serves as a vendor certification template for progress payments during the interior renovation of Building 500 located at 1845 Town Center Boulevard within the Fleming Island Business Park. The certificate requires the general contractor to certify that all work has been performed and materials applied in accordance with contract terms and specifications, and that all subcontractors and suppliers have received their pro rata shares from previous progress payments.
The certificate establishes payment flow requirements and timelines for the contractor and subcontractors. The contractor must remit payment to all direct subcontractors and suppliers within 10 days of receiving payment from the county, and any subcontractor receiving such payment must remit funds to its own subcontractors and suppliers within 7 days thereafter. The form includes standard certification language confirming the accuracy of amounts due and compliance with contract obligations, with designated spaces for the payment number, total amount due, vendor information, date, and authorized signature.
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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 .