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 required by the Hillsborough County Board of County Commissioners in Florida for the Stormwater CRRP Construction WORCS Contract CDBG-DR North project. The affidavit certifies that the contractor has paid all bills for labor, services, and materials furnished by the contractor and its suppliers or subcontractors under the project agreement. The document requires the contractor to declare that all known indebtedness and claims for damages arising from the performance of the contract have been satisfied, with provisions for noting exceptions if applicable. The affidavit must be sworn before a notary public and include the agreement date, project designation, contractor name, and authorized signature.

This affidavit is a compliance document required upon project completion or at specified intervals during the Stormwater CRRP Construction contract, which involves culvert repair and replacement work throughout Hillsborough County's stormwater infrastructure network, primarily north of I-4 and I-275, with work potentially assigned throughout the County. The contract is an as-needed term contract with an estimated total value of $18,258,390.04 and is funded through CDBG-DR (Community Development Block Grant - Disaster Recovery) resources. Contractors must complete this affidavit as a condition of payment and contract administration, certifying financial responsibility and claim settlement related to their work performance.