5-Subcontractors Statement of Satisfaction.pdf.pdf

PDF 118 KB Posted

Attached to
Stormwater Countywide Ditch and Side Drain Restoration
Solicitation number
IFB-26-00250
Issued by
Hillsborough County, Florida

About this file

This is a Subcontractor's Statement of Satisfaction form issued by Hillsborough County, Florida for use with the Countywide Stormwater Ditch and Side-Drain Restoration Contract. The form serves as an attestation document that general contractors must attach to each Application for Payment beginning with the second submission. The statement certifies that all monies due to subcontractors from the prior Application for Payment have been paid in full. The form requires the subcontractor's name, address, title, project number, project name, general contractor identification, application for payment number, and work period dates. The document must be notarized before a Florida notary public and can be executed through either physical presence or online notarization.

The Subcontractor's Statement of Satisfaction is a critical compliance requirement for the stormwater restoration contract, which carries an estimated value of $4.938 million with an initial one-year term and two optional one-year renewals. The form ensures payment transparency and protects subcontractors by creating a formal record of compensation status. Given that the contract includes an 8% Small Business Enterprise (SBE) subcontractor participation goal, this statement becomes particularly important for documenting that SBE and other subcontractors receive timely payment from the general contractor. The notarization requirement adds legal weight to the payment certifications and protects both the County and the subcontracting community from payment disputes.

View the file

Other files

File Type Posted
8-Insurance Certificate.doc.doc DOC document
7-Change Order Form.pdf.pdf PDF
4-Consent of Surety-Change Order.pdf.pdf PDF
11-Subcontractor Letter of Intent.pdf PDF
26-IFB-26-00250 Bid Bond.pdf PDF
6-Consent of Surety to Final Payment.pdf.pdf PDF
10-Direct Deposit Authorization Form 5.15.2025.pdf.pdf PDF
14-AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 02.26.2026.docx DOCX document
18-Hillsborough County BOCC Certificate Holder.png PNG image
25-Attachment A - Insurance Requirements.pdf PDF
16-Allowance Authorization Release Form.pdf.pdf PDF
15-SBE-2 Goal Participation Tutorial.mp4 MP4 file
22-Attachment D - Example Plans - 46147010.pdf PDF
23-Attachment E - Map.pdf PDF
27-IFB-26-00250 Payment Bond.pdf PDF
9-Substitute W9 Form.pdf.pdf PDF
1-Drug Free Workplace Form.doc.doc DOC document
28-IFB-26-00250 Performance Bond.pdf PDF
20-Attachment B - Example Plans - 46147005.pdf PDF
17-Additional Insured Policy Sample.jpg JPG image
13-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf PDF
29-IFB-26-00250 Agreement.pdf PDF
19-Blanket Additional Insured Policy Sample.png PNG image
21-Attachment C - Example Plans - 46147009.pdf PDF
3-Application for Payment.pdf.pdf PDF
2-Florida Trench Safety Act, Certification and Disclosure Statement.pdf.pdf PDF
24-Attachment F - Supplemental Specifications.docx DOCX document
12-SBE Subcontractors Material Suppliers List SBE-1 Form.pdf PDF
30-1. IFB-26-00250 Terms and Conditions.pdf PDF
Show all 29

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 .