13-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 certifies that the contractor has paid all bills for labor, services, and materials furnished by the contractor and its suppliers and subcontractors under an agreement with the County. The form requires the contractor to confirm that all known indebtedness and claims for damages arising from performance of the contract have been satisfied, with provisions to note any exceptions. The affidavit must be completed with specific contract dates, project designation, contractor name, and must be notarized before a Florida Notary Public using either physical presence or online notarization. This document is associated with the Countywide Fire Hydrant Replacement project (WORCS-5), a Hillsborough County Water Resources Department solicitation for replacement of fire hydrants, hydrant assemblies, and valves on existing water mains throughout the County with an estimated project value of $1,900,000.

The affidavit serves as a final payment certification requirement, likely submitted upon project completion or as a condition of final payment. No specific pricing terms, payment schedules, set-asides, or funding source information is contained within this affidavit form itself. The document functions as a standard compliance and verification tool ensuring that contractors have fulfilled all financial obligations related to their County contract performance.