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 issued by the Hillsborough County Board of County Commissioners in Florida for the Sidewalk Replacement and Repair - North (WORCS 2) project. The affidavit certifies that the contractor has paid in full all bills for labor, services, and materials furnished by the contractor and its suppliers and subcontractors under the contract agreement. The contractor must declare that all known indebtedness and claims for damages arising from contract performance have been satisfied, with any exceptions to be noted and attached as a list. The form requires the contractor's authorized representative to sign and have the affidavit notarized by a Florida Notary Public, with the notarization completed either through physical presence or online notarization.

This affidavit document serves as a completion and release mechanism for the $10,000,000.00 sidewalk replacement and repair project, which includes removal of existing sidewalks, construction of new concrete sidewalk segments, ADA compliance retrofitting, curb ramp repairs, irrigation system repairs, tree removal, traffic control coordination, and site restoration. The contract includes a Small Business Enterprise (SBE) subcontractor participation goal of 9%. The affidavit is a standard contractual requirement that protects the county from liability by confirming the contractor has resolved all financial obligations and claims related to the project performance before final payment or contract closure.