EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL).pdf

PDF 118 KB Posted

Attached to
Glass Panels Protection Solutions
Solicitation number
OP142929
Issued by
California

About this file

EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL)

This is a payment certification form used by a contracting agency to document and authorize final payments to contractors upon project completion. The document serves as the official record for certifying that all contractual obligations have been fulfilled, deliverables have been received and accepted, and payment is warranted. The certification form typically includes spaces for project identification, contractor information, contract amount, work completion verification, and authorization signatures from appropriate agency representatives. This final certification represents the conclusion of the contract performance period and triggers the release of any remaining contract funds owed to the contractor.

The payment certification form establishes the mechanism for processing final compensation to the contractor based on verified completion of all contracted work or services. The document requires certification by responsible agency personnel that all terms and conditions have been satisfied, quality standards have been met, and no outstanding disputes or claims exist that would prevent payment authorization. The form may reference contract line items, milestone completion dates, or specific deliverables that have been inspected and accepted. This certification protects both the agency and contractor by creating a documented record of final payment authorization and serves as the official closing documentation for the contract file.

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Attachment A3 - List of Locations (Region 3).pdf PDF
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Attachment A2 - List of Locations (Region 2).pdf PDF
EXHIBIT F - RELEASE OF CLAIMS.pdf PDF
EXHIBIT C - WORK-COMPLETION_DELIVERABLE SCHEDULE (RESERVED).pdf PDF
EXHIBIT 08 - ETHICS DECLARATION.pdf PDF
EXHIBIT 06 - LIST OF CURRENT CONTRACTS - BACKLOG.pdf PDF
EXHIBIT 2C - SQP (REGION 3).pdf PDF
EXHIBIT 07 - LIST OF COMPLETED CONTRACTS - LAST FIVE (5) YEARS.pdf PDF
FORM 4 - PROPOSED LOWER TIER SUBs & SUPs.pdf PDF
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EXHIBIT 3A - MINIMUM QUALIFICATIONS (REGION 1).pdf PDF
Attachment D - TASK ORDER PROCEDURE.pdf PDF
Attachment F - MONTHLY EMPLOYEE TIMESHEET.xlsx XLSX spreadsheet
Attachment A1 - List of Locations (Region 1).pdf PDF
EXHIBIT G - APPROVED SUBCONTRACTORS AND SUPPLIERS.pdf PDF
EXHIBIT J - STATE PREVAILING WAGE INFORMATION.pdf PDF
EXHIBIT D - DEOD CONTRACT COMPLIANCE MANUAL (SET-ASIDE).pdf PDF
EXHIBIT 04 - LIST OF CERTIFIED FIRMS.xlsx XLSX spreadsheet
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SBE Set-Aside Instructions to Bidders.pdf PDF
FORM 1 - PROPOSED SUBs & SUPs.pdf PDF
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EXHIBIT 09 - GENERAL CERTIFICATIONS.pdf PDF
EXHIBIT 05 - BID LETTER.pdf PDF
IFB No. OP142929.pdf PDF
EXHIBIT B - PRICING AGREEMENT.pdf PDF
Attachment G - PAYMENT CERTIFICATION.pdf PDF
Attachment E.pdf PDF
Attachment B.pdf PDF
EXHIBIT H - MISCELLANEOUS (RESERVED).pdf PDF
EXHIBIT 2 - INSTRUCTIONS TO BIDDERS.pdf PDF
EXHIBIT 12 - MISCELLANEOUS.pdf PDF
EXHIBIT 11 - NONCOLLUSION AFFIDAVIT TO BE EXECUTED BY BIDDER.pdf PDF
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Attachment H - EXAMPLES OF DAMAGED FILM.pdf PDF
EXHIBIT E-1 - PAYMENT CERTIFICATION (CONTINUOUS).pdf PDF
EXHIBIT A - STATEMENT OF WORK.pdf PDF
EXHIBIT I - RESERVED.pdf PDF
Exhibit 2A - SQP (REGION 1).pdf PDF
EXHIBIT 2B - SQP (REGION 2).pdf PDF
FORM 2 - SBE CUF AFFIDAVIT.pdf PDF
EXHIBIT 3C - MINIMUM QUALIFICATIONS (REGION 3).pdf PDF
EXHIBIT 3B - MINIMUM QUALIFICATIONS (REGION 2).pdf PDF
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EXHIBIT E-2 - PAYMENT CERTIFICATION (FINAL)

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

1. This Payment Certification (Final) represents a true and correct statement of the Services performed and that the services have been completed in full;

2. The Services completed 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 have been paid their proportionate share of all previous payments from LACMTA, in full;

4. This Payment Certification (Final) 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;

5. The Contractor, Subcontractors and/or Suppliers have no outstanding Claims related to any unreserved (settled) Claims. Further, Contractor releases and waives all unreserved (settled) Claims against LACMTA, its officers, directors, employees and Authorized Representatives;

6. Contractor has no reason to believe that any party has a valid Claim against the Contractor or LACMTA, which has not been communicated in writing by the Contractor to LACMTA as of the date of this Payment Certification (Final);

7. All warranties are in full force and effect;

8. Releases and warranties shall survive final payment; and

9. 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 the 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 Number: Project Number

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