13-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf
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- Solicitation number
- IFB-26-00406
- Issued by
- Hillsborough County, Wright CDP, Florida
About this file
This is a Contractors Affidavit for Payment of Debts and Claims document related to the Valrico Reclaimed Water Facility Diesel Generator Project in Hillsborough County, Florida. The affidavit is a standard form required from contractors bidding on this competitively sealed bid project for the addition of a new 1500 kW/1875 kVA diesel-driven generator housed in a walk-in enclosure and mounted on an 8,500-gallon sub-base diesel fuel tank at the Valrico Advanced Wastewater Treatment Facility. The project is estimated at $4,728,600.00 and is being managed by Hillsborough County Capital Projects Management. As a pre-bid or pre-award requirement, contractors must complete and submit this affidavit certifying their compliance with debt and claims payment obligations.
The affidavit serves as a qualification and eligibility requirement for contractor participation in this solicitation. This project is partially funded through the Hazard Mitigation Grant Program and Hazard Mitigation Grant Match Program, which establish specific compliance and documentation requirements for participating contractors. Additionally, a Small Business Enterprise (SBE) subcontractor participation goal of 5% has been established in connection with this contract award. Contractors must certify their financial responsibility and payment history as part of the bid submission process to demonstrate their ability to perform under the contract terms and conditions.
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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 .