12-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf
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- Attached to
- Southshore Sportsplex - Phase 2
- Solicitation number
- IFB-26-00279
- Issued by
- Hillsborough County, Florida
About this file
This is a Contractors Affidavit for Payment of Debts and Claims document related to the Southshore Sportsplex – Phase 2 construction project for the Hillsborough County Parks and Recreation Department in Apollo Beach, Florida. The project encompasses the construction of Phase 2 of the Southshore Sports Complex located at 6110 Waterset Boulevard, with an estimated base bid value of $12,650,011.00 and alternate bid items valued at $2,769,574.00 (Alternates 1 through 8). The solicitation requires prospective contractors to submit questions and requests for interpretation no later than 14 calendar days after the solicitation issuance date, site visit, or pre-bid conference, whichever occurs later, as specified in the Contract Terms and Conditions document.
The contract establishes an 8 percent Small Business Enterprise (SBE) participation goal for subcontractors in connection with this solicitation and its resulting contract. This affidavit document serves as a requirement for contractors to attest to the payment of debts and claims, ensuring financial responsibility and integrity throughout the procurement process.
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Text version
CONTRACTOR’S AFFIDAVIT OF
PAYMENT OF DEBTS AND CLAIMS
The undersigned hereby certifies that except as noted below all bills for labor, services and materials furnished by the CONTRACTOR and all suppliers and/or subcontractors of the CONTRACTOR under and pursuant to the provisions of the Agreement dated the ________ day of _______________, 20_____, between the Hillsborough County Board of County Commissioners (COUNTY) and _________________________________________ (CONTRACTOR) concerning that certain project designated as __________________________________________________________ have been paid in full or otherwise satisfied including all known indebtedness and all claims for damages against said CONTRACTOR arising in any manner in connection with the performance of the Agreement referenced above for which the COUNTY might in any way be held responsible.
Exceptions: ________ (If none, write “None”.)
__________ (If yes, write “Yes” and attach list.)
Certified this ________ day of _________________, 20 ______.
CONTRACTOR:
BY:
Title
STATE OF FLORIDA
COUNTY OF HILLSBOROUGH
Sworn to (or affirmed) and subscribed before me by means of physical presence or online notarization, this ____ day of ___________, 20__, by____________________________, (Name of person making statement)
(Signature of Notary Public - State of Florida)
(Print, Type, or Stamp Commissioned Name of Notary Public)
Personally Known or Produced Identification
Type of Identification Produced ______________________
File details come from the government source that posted it. Updated .