6-Subcontractors Statement of Satisfaction.pdf.pdf

This is a Subcontractor's Statement of Satisfaction form used by Hillsborough County, Florida in connection with the Roadway Resurfacing Repair and Preservation Districts 1&2 contract. The form serves as an attestation document that must be attached to each Application for Payment beginning with the second payment request submitted by the General Contractor. The statement confirms that all monies due to subcontractors from the prior Application for Payment have been paid in full. The form requires the subcontractor to provide their name, address, title, and the project details including Project Number, Project Name, and General Contractor information, along with the applicable Application for Payment number and work period dates.

The statement must be notarized before a Florida notary public and submitted under oath. The form is designed to ensure transparency and accountability in the payment chain between general contractors and their subcontractors on this roadway resurfacing project, which carries an estimated cost of $16,000,000.00 and includes a 5% Small Business Enterprise (SBE) subcontracting goal. The notarization requirement and sworn statement create a legal record that subcontractors have received payment for work completed during the specified payment period.