Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- Green Cove Springs Library Roof Over
- Solicitation number
- 24/25-094
- Issued by
- Clay County, Harold CDP, Florida
About this file
The document is a Certificate of Partial Payment form from Clay County, Florida, designed for use in contract payment processes. The form certifies that work has been performed and materials applied in full accordance with contract terms, and requires the vendor to confirm that all subcontractors and suppliers have been appropriately compensated. The certificate mandates that the contractor remit payment to subcontractors and suppliers within 10 days of receipt of payment, with subsequent subcontractors required to pay their own suppliers within 7 days.
The form includes provisions to ensure transparent and timely payment cascading through the contract's supply chain, with the vendor attesting to the accuracy of items and amounts shown on the certificate. Blank spaces are provided for payment number, total amount due, date, vendor name, and authorized signature. The document features the Clay County seal, which includes the motto "In God We Trust" and depicts a scenic Florida landscape with a tree and water.
View the file
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|---|---|---|
| Green_Cove_Springs_Library_Roof_Over.pdf | ||
| 403_Ferris_St_Roof_Core_Samples.pdf | ||
| EFT_FORM.pdf | ||
| W-9_(2024).pdf | ||
| Chapter_8_Section_I.pdf | ||
| Certificate_of_final_payment.pdf | ||
| Warranty_Letter_.pdf | ||
| Performance_&_Paymt_Bond.doc | DOC document | |
| Owner_Direct_Purchase_Program.pdf |
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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 .