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.

View the file

Other files

File Type Posted
21-IFB-26-00265 Agreement.docx DOCX document
16-Additional Insured Policy Sample.pdf PDF
15-Subcontractor Letter of Intent .pdf PDF
14-SBE-2 Goal Participation Tutorial.mp4 MP4 file
9-Substitute W9 Form.pdf.pdf PDF
7-Change Order Form.pdf.pdf PDF
6-Consent of Surety to Final Payment.pdf.pdf PDF
20-Blanket Additional Insured Policy Sample.pdf PDF
19-Attachment D - Drawings.pdf PDF
12-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf PDF
1-Drug Free Workplace Form.doc.doc DOC document
25-Attachment A - Insurance Requirements.pdf PDF
11-SBE Subcontractors Material Suppliers List SBE-1 Form.pdf PDF
24-IFB-26-00265 Performance Bond.pdf PDF
8-Insurance Certificate.doc.doc DOC document
2-Allowance Authorization Release Form.pdf.pdf PDF
10-Direct Deposit Authorization Form 5.15.2025.pdf.pdf PDF
22-IFB-26-00265 Bid Bond.doc DOC document
26-1. IFB-26-00265 Terms and Conditions.pdf PDF
3-Application for Payment.pdf.pdf PDF
18-Attachment C - Technical Specifications.pdf PDF
23-IFB-26-00265 Payment Bond.pdf PDF
17-Attachment B - Measurement and Payment.pdf PDF
4-Consent of Surety-Change Order.pdf.pdf PDF
13-AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 02.26.2026.docx DOCX document
Show all 25

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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 .