Certificate_of_partial_payment.pdf

PDF 113 KB Posted

Attached to
Moccasin Slough Boardwalk
Solicitation number
25/26-043
Issued by
Clay County, Harold CDP, Florida

About this file

This Certificate of Partial Payment form is associated with the Moccasin Slough Boardwalk construction project being procured by the Clay County Board of County Commissioners in Florida. The certificate serves as a payment authorization document that contractors must complete and submit to certify that all work has been performed and materials applied in accordance with contract terms and conditions. The form requires the vendor to verify payment amounts, confirm that all subcontractors and suppliers have received their pro rata shares from previous progress payments, and attest to compliance with payment remittance timelines. Specifically, contractors must remit payment to subcontractors and suppliers within 10 days of receiving payment, and subcontractors must remit payment to their own lower-tier subcontractors and suppliers within 7 days thereafter. The certificate includes designated spaces for payment number entry, total amount due, date, vendor identification, and authorized signature.

The certificate functions as a required documentation element within Clay County's competitive sealed bid procurement process for the Moccasin Slough Park boardwalk system project. The form establishes contractual accountability and ensures compliance with state requirements regarding payment flow through the contractor supply chain. All contractors awarded contracts under this invitation for bid must submit certificates of partial and final payment to facilitate reimbursement upon contract award and project completion. The project is funded through a Florida Recreation Development Assistance Program (FRDAP) grant from the State of Florida Department of Environmental Protection with total grant funding of $200,000 in state funds. Electronic bids were due February 12, 2026, with bid opening scheduled for February 13, 2026, and contractors must maintain continuous insurance coverage from bid submission through sixty days after bid opening.

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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 .