5-Subcontractors Statement of Satisfaction.pdf.pdf

This is a Subcontractor's Statement of Satisfaction form created for use by Hillsborough County in Florida on the Sidewalk Replacement and Repair - South (WORCS 2) project. The form serves as an attestation document that general contractors must attach to each Application for Payment beginning with the second submission. The statement confirms that all monies due to subcontractors from the prior Application for Payment have been paid in full. The form requires subcontractor identification, project details including project number and name, the general contractor name, and the specific Application for Payment number and work period being referenced. The document must be notarized before a Florida notary public, with notarization occurring either by physical presence or online, and includes sections for the notary to verify personal identification.

The Subcontractor's Statement of Satisfaction is a compliance and payment verification mechanism for the $10,000,000 sidewalk replacement and repair contract managed by the Hillsborough County Engineering and Operations Department. The form ensures transparency in the payment chain and protects subcontractors by requiring documented proof that they have received payment from general contractors before subsequent payment applications are approved. This requirement is standard practice in public works contracts to prevent payment disputes and ensure subcontractor protection under state regulations. The contract includes a 9% Small Business Enterprise (SBE) participation goal for subcontractor involvement.