12-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 used by the Hillsborough County Board of County Commissioners in Florida for the Columbus Drive Bridge #105504 Painting and Repair project. The affidavit serves as a certification document that the contractor has paid all bills for labor, services, and materials furnished by the contractor and its suppliers and subcontractors under the project agreement. The form requires the contractor to declare that all known indebtedness and claims for damages related to performance of the contract have been paid in full or otherwise satisfied, with space provided to note any exceptions to this certification. The document must be notarized by a Florida Notary Public, with the notary verifying the contractor's identity through either physical presence or online notarization.

The affidavit form is a standard closing document required as part of the contract completion process for the bridge rehabilitation project, which involves painting and miscellaneous improvements to a 100-year-old swing bridge located over the Hillsborough River. The form includes blank fields for the agreement date, contractor name, project designation, certification date, contractor signature and title, and notary information. No specific pricing, set-asides, or contract term information is contained within this affidavit template itself; rather, it functions as a contractual requirement to ensure all financial obligations and claims associated with the project have been resolved prior to final payment or contract closeout.