Certificate_of_partial_payment.pdf
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- Solicitation number
- 25/26-016
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form used by the Clay County Board of County Commissioners for the SUN Trail Construction Engineering and Inspection (CEI) services project along Old Jennings Road and Long Bay Road in Florida, which is funded by the Florida Department of Transportation (FDOT Financial Project ID: 449202-3-54-01). The certificate serves as documentation for progress payments issued to the contractor during the project execution phase.
The Certificate of Partial Payment requires the vendor to certify that all work has been performed and materials applied in accordance with contract terms and conditions. The form mandates that contractors remit payment to subcontractors and suppliers within 10 days of receiving payment, and that subcontractors remit payment to their own subcontractors and suppliers within 7 days thereafter. The certificate includes spaces for payment number, total amount due, vendor identification, authorization signature, and date of issuance. This payment mechanism ensures compliance with contract obligations and establishes a clear chain of payment responsibility throughout the contractor and subcontractor hierarchy for the CEI services contract.
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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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