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. The affidavit requires contractors to certify that all bills for labor, services, and materials furnished under a contract agreement have been paid in full or otherwise satisfied, including all known indebtedness and claims for damages arising from performance of the agreement. The form includes spaces for the contractor to note any exceptions to this certification and requires notarization by a Florida notary public, with options for physical presence or online notarization. The document serves as a final verification mechanism to ensure that contractors have settled all financial obligations related to their contract performance before project completion.

This affidavit form is a standard completion requirement in Hillsborough County contracts and applies to the Low Pressure Sewer System Installations and Repairs (WORCS-2) project, which involves an estimated $4,410,000.00 contract for furnishing and installing Low Pressure Sewer System tanks, electrical connections, service line tie-ins to wastewater force mains, and repairs to LPSS sites. The project includes a 5% Small Business Enterprise (SBE) subcontractor participation goal. Contractors must submit this affidavit as part of their final contract closeout documentation to certify financial clearance and protect the county from liability related to unpaid obligations or third-party claims stemming from contract performance.