11-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf

This is a Contractor's Affidavit of Payment of Debts and Claims form issued by the Hillsborough County Board of County Commissioners in Florida. The affidavit is a certification requirement for contractors performing work on county projects and serves as documentation that all bills for labor, services, and materials furnished by the contractor and its suppliers or subcontractors have been paid in full or otherwise satisfied. The form requires the contractor to certify that all known indebtedness and claims for damages arising from the performance of the agreement have been resolved, with space provided to note any exceptions to this certification. The document must be notarized before a Florida notary public and signed by an authorized representative of the contractor. In the context of the related Miscellaneous Parking Lot Repaving Services Term Contract, this affidavit would be required as part of the final payment documentation for the estimated $6,000,000.00 contract involving restoration of pavement surfaces and parking elements at various Hillsborough County facilities and park sites.

The affidavit is a standard contract compliance and closeout document with no pricing terms, payment schedules, or financial provisions contained within it. The form establishes a 5% Small Business Enterprise (SBE) subcontractor participation goal for the parking lot repaving contract. As a completion and payment certification document, the affidavit does not contain information regarding funding sources, contract awards, or renewal options, but rather serves as a prerequisite for final contract settlement and contractor payment. Contractors must provide this certified affidavit before the county can authorize final payment, ensuring all project-related financial obligations have been satisfied.