Certificate_of_partial_payment.pdf
PDF 113 KB Posted
- Attached to
- Mosquito Control Program
- Solicitation number
- 25/26-084
- Issued by
- Clay County, Harold CDP, Florida
About this file
This is a Certificate of Partial Payment form used by Clay County, Florida for its Mosquito Control Program contract. The form serves as an official payment authorization document that contractors must complete to request progress payments for work performed under the contract. The certificate requires the contractor to verify that all items, amounts, and work have been completed in accordance with the contract terms and conditions, and that all subcontractors and material suppliers have received their proportional shares from previous payments. The contractor certifies compliance with payment distribution timelines, requiring remittance to first-tier subcontractors and suppliers within 10 days of payment receipt, and ensuring that any subcontractors receiving payment will remit funds to their own subcontractors and suppliers within 7 days thereafter.
The certificate includes spaces for the payment number, total amount due, payment date, and vendor identification and authorization signature. This form is a standard administrative document used to track and document partial payments throughout the contract performance period, ensuring transparency in the payment chain and contractual compliance across all contract tiers. The form does not contain specific pricing terms, contract amounts, or project scope details, as those elements are contained in the primary contract documents and scope of work for the Mosquito Control Program.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Mosquito_Control_Program_(Addendum_#1_Revision).pdf | ||
| Mosquito_Control_Program.pdf | ||
| Chapter_8_Section_I_(1).pdf | ||
| EFT_FORM.pdf | ||
| Warranty_Letter_.pdf | ||
| EFT_FORM.pdf | ||
| Certificate_of_final_payment.pdf | ||
| W-9_(2024).pdf | ||
| Warranty_Letter_.pdf | ||
| Chapter_8_Section_I_(1).pdf | ||
| Certificate_of_final_payment.pdf | ||
| Certificate_of_partial_payment.pdf | ||
| W-9_(2024).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 .