5-Subcontractors Statement of Satisfaction.pdf.pdf
PDF 118 KB Posted
- Attached to
- Tree Trimming and Removal Services
- Solicitation number
- RFP-2026-01-0-2027/AB
- Issued by
- Brevard County, Florida
About this file
This is a Subcontractor's Statement of Satisfaction form used by the City of Rockledge, Florida for tree trimming and removal services projects. The document serves as an attachment to a General Contractor's Application for Payment, beginning with the second application submitted. The statement certifies that all subcontractors whose work appeared on the prior Application for Payment have received full payment from the General Contractor for the work period covered. The form requires the subcontractor to provide their name, address, title, and project details including the project number, project name, and General Contractor information. The statement must be notarized before a Florida notary public and includes spaces for the notary to document the date of notarization, the identity verification method used, and the notary's commission information.
The document establishes a payment verification mechanism within the construction payment hierarchy for municipal work in Hillsborough County, Florida. By requiring subcontractors to affirm satisfaction and full payment, the City ensures financial accountability throughout the contractor payment chain and protects against liens or disputes arising from unpaid subcontractor work. The form was updated on April 9, 2020, and can be completed through either physical presence or online notarization, providing flexibility in the attestation process while maintaining legal validity.
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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 .