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 - South (WORCS 2) project. The affidavit is a mandatory certification document that contractors must complete and submit, certifying 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 acknowledge all known indebtedness and claims for damages arising from the performance of the agreement, with provisions to note any exceptions to full payment. The affidavit must be notarized by a Florida Notary Public and signed by an authorized representative of the contracting entity.

This document serves as a condition of contract completion and is designed to protect the county from liability related to unpaid obligations incurred during project performance. The affidavit is required for the $10,000,000.00 sidewalk replacement and repair project that includes removal of existing sidewalks, construction of new concrete segments, ADA compliance retrofitting, curb ramp work, irrigation system repairs, tree removal, traffic control, and site restoration. The form includes a requirement for contractors to identify any subcontractors with unpaid claims and establishes that the county may hold the primary contractor responsible for all outstanding debts associated with the project work.