Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- CDBG - 2651 Sapp Lane Foundation Rehabilitation
- Solicitation number
- 25/26-006
- Issued by
- Clay County, Miramar Beach CDP, Florida
About this file
This is a Certificate of Partial Payment form associated with a Clay County Board of County Commissioners housing foundation rehabilitation project located at 2651 Sapp Lane, Middleburg, Florida. The certificate serves as a vendor payment authorization document for contracted work performed and materials supplied in accordance with the project's terms and conditions. The form requires certification from the vendor that all work has been completed and materials applied in full compliance with the contract specifications, and it establishes payment processing timelines for subcontractors and suppliers involved in the project.
The certificate mandates specific payment flow requirements, obligating the prime contractor to remit payment to subcontractors and suppliers within 10 days of receiving payment, and requiring any subcontractors to further remit payments to their own subcontractors and suppliers within 7 days. The form includes fields for the payment number, total amount due, vendor identification, authorized signature, and date, and requires the vendor to certify that all subcontractors and suppliers have received their pro rata shares of previous progress payments less any retained amounts. This payment certification mechanism ensures compliance with contract terms and protects the interests of all parties involved in the foundation rehabilitation services.
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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 .