5-Subcontractors Statement of Satisfaction.pdf.pdf
PDF 118 KB Posted
- Solicitation number
- IFB-26-00346
- Issued by
- Hillsborough County, Florida
About this file
This is a Subcontractor's Statement of Satisfaction form used by Hillsborough County, Florida in connection with general contractor applications for payment on construction projects. The form serves as an attestation that all monies due to subcontractors from a prior application for payment have been received. The statement must be notarized and attached to each application for payment beginning with the second submission. The form requires the subcontractor to identify themselves by name and address, provide their title, reference the relevant project number and name, identify the general contractor, specify the application for payment number and work period covered, and confirm receipt of all funds owed pursuant to the contract terms.
The form is specifically designed for use in Florida and requires notarization by a Florida notary public, with provisions for either physical presence or online notarization. The document establishes a standard verification mechanism to ensure subcontractors have been paid before the general contractor receives subsequent payment installments, thereby protecting the interests of all parties in the construction payment chain and maintaining compliance with Florida construction payment regulations.
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Subcontractors Statement of Satisfaction updated 4.9.2020
SUBCONTRACTOR'S STATEMENT OF SATISFACTION
(Attachment to General Contractor's Application for Payment No. )
Note: The General Contractor shall attach this statement to each Application for Payment beginning with the second Application for Payment. This statement is applicable to each subcontractor whose work appeared on the prior Application for Payment for which the General Contractor has been paid.
KNOW ALL MEN BY THESE PRESENTS, That, (Name) representing whose address is with the title of , who after being first duly sworn, upon oath, deposes and says that pursuant to the provisions of the contract for:
Project No.
Project Name:
General Contractor:
that all monies due him/her from the General Contractor's Application for Payment No.
(Period of work: to ) have been paid to him/her.
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 .