Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- Carl Pugh Park - Drainage Improvements
- Solicitation number
- 25/26-041
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form associated with a drainage improvements project at Carl Pugh Park in Green Cove Springs, Florida, managed by the Clay County Board of County Commissioners. The certificate serves as a payment authorization document for contractors performing work on the project. The form requires vendors to certify that all work has been performed and materials have been applied in accordance with contract terms and conditions. The document establishes payment distribution protocols requiring the prime contractor to remit payment to subcontractors and suppliers within 10 days of receipt, with subcontractors required to pay their own subcontractors and suppliers within 7 days thereafter.
The certificate includes certification language whereby the vendor attests to the accuracy of itemized amounts and the proper application of contract terms. The form contains blank fields for payment number, total amount due, date, vendor name, and authorized signature. This payment mechanism ensures compliance with contract obligations and establishes clear timelines for payment flow through the contractor hierarchy, protecting subcontractors and material suppliers by requiring documented proof that all parties in the supply chain receive their pro rata shares of payments, less any retainage withheld according to contractual agreements.
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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 .