13-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf
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- Attached to
- North Himes Avenue at West Waters Avenue
- Solicitation number
- IFB-26-00271
- Issued by
- Hillsborough County, Florida
About this file
This is a Contractors Affidavit for Payment of Debts and Claims document related to the North Himes Avenue at West Waters Avenue intersection improvement project managed by the Hillsborough County Engineering and Operations Department in Florida. The affidavit serves as a certification requirement for contractors bidding on this infrastructure project, which involves replacing the existing box span wire signal with mast arms, roadway widening, milling and resurfacing, installation of miscellaneous drainage improvements, ADA sidewalk and pedestrian curb ramp improvements, and signing and pavement marking at the specified intersection. The project is estimated at $2,594,198.34.
The affidavit represents a standard contractual compliance document that contractors must execute to affirm their financial standing and commitment to meeting all payment obligations related to debts and claims. This document is typically required as part of the bid submission process to ensure contractor responsibility and financial capability. The project includes a Small Business Enterprise (SBE) subcontractor participation goal of 5%, which contractors must acknowledge and plan to incorporate into their bid proposals. Contractors executing this affidavit certify their understanding of payment obligations and financial accountability requirements as a condition of contract award and performance.
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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 .