5-Subcontractors Statement of Satisfaction.pdf.pdf

PDF 118 KB Posted

Attached to
Southshore Sportsplex - Phase 2
Solicitation number
IFB-26-00279
Issued by
Hillsborough County, Florida

About this file

This is a Subcontractor's Statement of Satisfaction form used by the Hillsborough County Parks and Recreation Department in Florida for construction projects. The document serves as an attestation that must be attached to the General Contractor's Application for Payment beginning with the second payment request. The statement confirms that all monies due to subcontractors from the prior Application for Payment have been paid in full. The form requires notarization in Hillsborough County, Florida, and must be completed for each subcontractor whose work appeared on the previous payment application for which the General Contractor received payment. This documentation is applicable to the Southshore Sportsplex Phase 2 project, a construction initiative located at 6110 Waterset Boulevard, Apollo Beach, Florida, with an estimated base bid of $12,650,011.00 and alternate bid items valued at $2,769,574.00.

The Southshore Sportsplex Phase 2 project includes a Small Business Enterprise (SBE) participation goal of 8% for subcontractor involvement. The solicitation requires interested parties to submit questions and requests for interpretation no later than 14 calendar days after the later of the solicitation issuance date, site visit, or pre-bid conference. The Subcontractor's Statement of Satisfaction ensures compliance with payment obligations and provides transparency in the contractor payment chain, protecting subcontractors and maintaining project financial accountability throughout the construction process.

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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 .