13-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf

PDF 543 KB Posted

Attached to
Roadway Resurfacing Repair and Preservation Districts 1&2 WORCS
Solicitation number
IFB-26-00362
Issued by
Hillsborough County, Florida

About this file

This is a Contractors Affidavit for Payment of Debts and Claims document for Hillsborough County Engineering and Operations related to the Roadway Resurfacing Repair and Preservation Districts 1 & 2 contract opportunity. The affidavit is dated February 18, 2026, and serves as a certification requirement for contractors bidding on or awarded this roadway resurfacing project. The document establishes the contractor's attestation regarding their payment obligations and financial standing as they pertain to debts and claims owed to the County or other entities. This affidavit must be completed and submitted as part of the bidding process for the estimated $16,000,000 roadway resurfacing project in Hillsborough County's Districts 1 and 2.

The affidavit functions as a financial compliance and verification document that contractors must execute to demonstrate good standing and legitimate business practices. By executing this affidavit, contractors certify their ability to meet financial obligations and claim that no outstanding debts or claims exist that would disqualify them from contract participation. This requirement ensures that selected contractors possess the financial responsibility and integrity necessary to undertake a substantial public works project involving milling, resurfacing, preservation treatments, and potentially full depth reclamation methods. The submission of this affidavit is mandatory for all bidders and is a standard prerequisite in the evaluation and award process for Hillsborough County contracts.

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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 .