5-Subcontractors Statement of Satisfaction.pdf.pdf

This is a Subcontractor's Statement of Satisfaction form for the Sidewalk Replacement and Repair - North (WORCS 2) project administered by Hillsborough County Engineering and Operations Department in Florida. The form serves as an attachment to a General Contractor's Application for Payment, beginning with the second application, and requires subcontractors to certify under oath that all monies due from the prior application period have been received. The document must be notarized by a Florida notary public and includes fields for the subcontractor's name, address, title, project number, project name, general contractor identification, application period dates, and notarization details including the specific date and method of notarization (physical presence or online).

The Sidewalk Replacement and Repair - North project represents an estimated $10,000,000 contract with Hillsborough County for comprehensive sidewalk and curb work including removal and replacement of existing sidewalks, ADA compliance grinding and retrofit, curb ramp repair and replacement, incidental irrigation system repairs, tree removal as necessary, traffic control coordination, and site restoration. The solicitation includes a 9% Small Business Enterprise (SBE) subcontractor participation goal. This form ensures payment transparency and compliance by requiring documented certification that subcontractors have received all due payments before the contractor can proceed with subsequent payment applications.