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 issued by the Clay County Board of County Commissioners in Florida for the Mosquito Control Program contract. The certificate serves as a payment authorization document that vendors submit to request progress payments for work completed and materials supplied under the contract terms. The form requires the vendor to certify that all work has been performed and materials applied in accordance with the contract specifications, and that all subcontractors and suppliers have received their proportionate shares of previous progress payments. The vendor must also certify compliance with payment distribution timelines, including remitting payment to subcontractors and suppliers within 10 days of receipt, with subcontractors required to distribute payments to their own vendors within 7 days thereafter.
The certificate includes fields for payment number, total amount due, vendor name, authorized signature, and date of submission. This form is a standard administrative tool used throughout the contract period to process interim payments and ensure transparent payment flow through the contracting chain. By requiring vendor certification of subcontractor payments and material compliance, the form protects the County's interests while establishing accountability for proper fund distribution among all parties involved in delivering mosquito control services to Clay County and Harold CDP.
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Other files
| File | Type | Posted |
|---|---|---|
| Mosquito_Control_Program_(Addendum_#1_Revision).pdf | ||
| Mosquito_Control_Program.pdf | ||
| Certificate_of_partial_payment.pdf | ||
| EFT_FORM.pdf | ||
| Chapter_8_Section_I_(1).pdf | ||
| Certificate_of_final_payment.pdf | ||
| W-9_(2024).pdf | ||
| Certificate_of_final_payment.pdf | ||
| W-9_(2024).pdf | ||
| Warranty_Letter_.pdf | ||
| Chapter_8_Section_I_(1).pdf | ||
| EFT_FORM.pdf | ||
| Warranty_Letter_.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 .