5-Subcontractors Statement of Satisfaction.pdf.pdf

This is a Subcontractor's Statement of Satisfaction form applicable to construction projects under Hillsborough County, Florida's jurisdiction, specifically designed for the Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades project. The form serves as an attestation document that must be attached to each Application for Payment beginning with the second payment request, confirming that all monies due to subcontractors from the prior Application for Payment have been paid in full. The document requires notarization and includes fields for the subcontractor's name, address, title, project number, project name, general contractor identification, application for payment number, and work period dates. The notarization must occur in Hillsborough County, Florida, and can be conducted through physical presence or online notarization.

The form is a required compliance document integral to the payment process for the $2.24 million concrete floor upgrades project with a 5% Small Business Enterprise subcontractor participation goal. Subcontractors must execute this sworn statement as a condition of receiving payment from the general contractor, ensuring transparency and accountability in the distribution of funds throughout the construction contract term. The statement protects both the general contractor and the county by providing documented evidence that subcontractor payment obligations have been satisfied prior to the general contractor receiving subsequent payment applications.