EXHIBIT E-1 - PAYMENT CERTIFICATION (CONTINUOUS).pdf

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Attached to
HI-RAIL MAINTENANCE VEHICLE (1). Pre-Bid Notice. Amendment #1 and 2, Clarification #1. Updated: 07/31/2026
Solicitation number
OP141742
Issued by
California

About this file

EXHIBIT E-1 - PAYMENT CERTIFICATION (CONTINUOUS)

This is a Payment Certification form used by a state or local government entity to document and authorize payments for continuous services or ongoing contract performance. The form serves as an official record for payment processing, requiring certification that services have been rendered or deliverables have been provided in accordance with the underlying contract terms. The certification document establishes accountability and documentation requirements for invoicing and payment authorization throughout the contract period, ensuring that payments are only made upon verified completion of work or delivery of services as specified in the contract agreement.

The form requires certification by authorized representatives, typically including signatures and dates, and may require supporting documentation to substantiate the claimed services or deliverables. This type of certification is commonly used for contracts with recurring payments or milestone-based compensation structures, allowing for systematic tracking and authorization of payments over the life of a continuous or ongoing contract. The form ensures proper fiscal controls and audit trails for government expenditures while maintaining compliance with procurement and financial management regulations.

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Other files

File Type Posted
OP141742_0_US.pdf PDF
OP141742 Amendment No.2.pdf PDF
EXHIBIT 3 - RESERVED.pdf PDF
FORM 6 - SBE-DVBE DEALER-DISTR AFFIRMATION.pdf PDF
EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL).pdf PDF
EXHIBIT D - DEOD CONTRACT COMPLIANCE MANUAL (Non-Fed).pdf PDF
Exhibit B Post-Assessment Form.pdf PDF
Pre-Bid Conference OP 141742.pdf PDF
EXHIBIT J - 29 CFR 5.5.pdf PDF
FORM 4 - SBE-DVBE AFFIRMATION.pdf PDF
EXHIBIT 6 - LIST OF CURRENT CONTRACTS - BACKLOG.pdf PDF
EXHIBIT 2 - SCHEDULE OF QUANTITIES AND PRICES.pdf PDF
OP141742 Amendment No.1.pdf PDF
FORM 5 - BIDDERS LIST FORM.pdf PDF
EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER.pdf PDF
Pre-Bid Meeting Presentation Notice.pdf PDF
FORM 1 - SBE-DVBE SUBS & SUPPLIERS.pdf PDF
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS (RESERVED).pdf PDF
EXHIBIT 12 - MISCELLANEOUS (RESERVED).pdf PDF
EXHIBIT C - WORK-COMPLETION_DELIVERABLE SCHEDULE (RESERVED).pdf PDF
EXHIBIT 4 - LIST OF CERTIFIED FIRMS.pdf PDF
EXHIBIT F - RELEASE OF CLAIMS.pdf PDF
EXHIBIT 8 - ETHICS DECLARATION.pdf PDF
FORM 3 - BUSINESS DATA SHEET.pdf PDF
EXHIBIT 5 - BID LETTER.pdf PDF
SUBCONTRACTOR LISTING FORM.pdf PDF
EXHIBIT B - PRICING AGREEMENT.pdf PDF
EXHIBIT 9 - GENERAL CERTIFICATIONS.pdf PDF
OP141742 TECHNICAL SPECIFICATIONS.pdf PDF
EXHIBIT A - SCOPE OF SERVICES.pdf PDF
Exhibit A Pre-Assessment Form.pdf PDF
EXHIBIT 10 - CERTIFICATE OF COMPLIANCE WITH 49 CFR PART 655.pdf PDF
EXHIBIT H - MISCELLANEOUS (RESERVED).pdf PDF
OP141742 Clarification No. 1.pdf PDF
EXHIBIT 7 - LIST OF COMPLETED CONTRACTS - LAST FIVE (5) YEARS.pdf PDF
EXHIBIT I - RESERVED.pdf PDF
FORM 2 - AFFIDAVIT.pdf PDF
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EXHIBIT E-1 - PAYMENT CERTIFICATION (CONTINUOUS)

A. I hereby certify to the best of my knowledge and belief that:

1. This Payment Certification represents a true and correct statement of the Services performed;

2. The Services completed to date under this Contract are in full accordance with the terms of the Contract Documents;

3. All Subcontractors and/or Suppliers who have performed Services on the project through the closing date of the prior Payment Request have been paid their proportionate share of all previous payments from LACMTA;

4. This Payment Certification does not include any amounts which the Contractor intends to withhold or retain from a Subcontractor or Supplier in accordance with the terms and conditions of the subcontract; and

5. The Contractor and its principals, (i) are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded by any governmental department or agency (federal, state, or local); (ii) have not in the past three years had one or more public transactions (federal, state, or local) terminated for cause or default; (iii) have not within the past three years been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (federal, state, local) transaction or contract under a public transaction, violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; and (iv) are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (federal, state, local) with commission of any of the offenses listed in Section (A)(5)(iii) above.

B. This Payment Certification is not to be construed as final Acceptance of the Contractor's, and any Subcontractor's or Supplier's performance.

C. I understand that it is a violation of both the federal and California False Claims Acts to knowingly present or cause to be presented to LACMTA a false claim for payment or approval. A claim includes a demand or request for money. It is also a violation of the False Claims Acts to knowingly make use of a false Record or statement to get a false claim paid. The term "knowingly" includes either actual knowledge of the information, deliberate ignorance of the truth or falsity of the information, or reckless disregard for the truth or falsity of the information. Proof of specific intent to defraud is not necessary under the False Claims Acts. I understand that the penalties under the Federal False Claims Act and State of California False Claims Act are non-exclusive, and are in addition to any other criminal and/or civil remedies which LACMTA may have either under contract or law.

I certify under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct

Firm:

Signature:

Name of Certifying Official:

Title:

Date of Execution:

Firm:
Name of Certifying Official:
Title:
Date of Execution:
Contract Number: Contract Number
Project Name: Project Name

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