23-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 for the Hillsborough County Board of County Commissioners in Florida, specifically related to the Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades project. The affidavit is a certification document that contractors must complete and have notarized, confirming that all bills for labor, services, and materials furnished by the contractor and its suppliers and subcontractors have been paid in full or otherwise satisfied. The form requires the contractor to disclose any exceptions to full payment, including any known indebtedness or claims for damages that may hold the County responsible. The document must be signed by an authorized representative of the contractor and notarized by a Florida Notary Public, with completion of all relevant date and identification fields.

This affidavit serves as a financial compliance document required as part of contract closeout procedures for the concrete installation work on the NWTS CCC Floor Upgrades project, which has an estimated value of $2,243,136.50. The form ensures that the County is protected from potential liability related to unpaid contractor debts and claims. Submission of this certified affidavit is typically a prerequisite for final payment or contract completion. The associated contract opportunity includes a 5% Small Business Enterprise (SBE) subcontractor participation goal as established by Hillsborough County.