Certificate_of_partial_payment.pdf

PDF 113 KB Posted

Attached to
Fire Station 18 Parking Lot (RE-BID)
Solicitation number
24/25-084
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 processing. The form certifies that work has been performed in accordance with contract terms and provides a mechanism for documenting and tracking partial payments to contractors and subcontractors. The certificate requires the vendor to confirm that all work has been completed as specified, all items and amounts are correct, and that payments will be appropriately distributed to subcontractors and suppliers within specified timeframes (10 days for the primary contractor and 7 days for subcontractors).

The form includes placeholders for payment number, total amount due, date, vendor name, and an authorized signature. It is specifically associated with the Fire Station 18 Parking Lot (RE-BID) project, which involves removing and replacing an existing asphalt parking lot with a new concrete parking lot at 207 Blanding Blvd in Orange Park, Florida. The project requires minimal disruption to fire station operations and mandates that contractors possess all necessary licenses and certifications. The document is part of Clay County's procurement process, which includes local preference and Buy American policies, and is subject to the county's formal bidding and payment procedures.

View the file

Other files

File Type Posted
Fire_Station_18_Parking_Lot_(RE-BID).pdf PDF
FS_18_Parking_Lot.png PNG image
FS_18_Parking_Lot_Final_.png PNG image
Where_to_Park_for_Non-Mandatory_Pre-Bid.png PNG image
Chapter_8_Section_I.pdf PDF
FS_18_Parking_Lot_Final.png PNG image
EFT_FORM.pdf PDF
W-9_(2024).pdf PDF
FS_18_parking_lot_scope_of_work_-_SENT_BY_FACILITIES_1_28_2025_9:12_AM.msg MSG file
RE__Site_Modification_Review_for_Fire_Station_18_Parking_Lot_-_PRJ100615_-_1.29.2025.msg MSG file
Warranty_Letter_.pdf PDF
Certificate_of_final_payment.pdf PDF
FS_18_Scope_of_work.docx DOCX document
Performance_&_Paymt_Bond.doc DOC document
Owner_Direct_Purchase_Program.pdf PDF
Show all 15

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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 .