Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Solicitation number
- 25/26-055
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form associated with a Clay County, Florida hurricane repair project for Exhibit Hall 2 and Cattlemen's Arena at the Clay County Fairgrounds. The certificate is used to document progress payments for work performed and materials applied in accordance with the contract terms. The form requires the vendor to certify that all work has been completed and materials have been supplied in full compliance with contract specifications, and that all subcontractors and suppliers have received their proportionate shares of previous progress payments for completed work.
The certificate establishes payment disbursement requirements and timelines for the contractor and subcontractors. The prime contractor must remit payment to its subcontractors and suppliers within 10 days of receiving payment from the county, and any subcontractor receiving such payment must remit payment to its own subcontractors and suppliers within 7 days thereafter. The form includes spaces for the payment number, total amount due, date, vendor name, and authorized signature. This payment mechanism ensures compliance with contract terms while maintaining cash flow to all parties involved in the hurricane repair 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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