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 Columbus Drive Bridge #105504 Painting and Repair project. The form serves as an attestation document that general contractors must attach to each Application for Payment beginning with the second payment request. The statement certifies that all monies due to subcontractors from the prior Application for Payment have been paid in full. The form requires notarization and includes spaces for the subcontractor's name, address, title, the project number and name, the general contractor's name, the application for payment number, and the work period covered. The document is executed under oath in Hillsborough County, Florida, and must be notarized by a Florida notary public using either physical presence or online notarization.

The form represents a standard payment verification mechanism designed to ensure subcontractor satisfaction and compliance with payment obligations on the Columbus Drive Bridge rehabilitation project, which involves painting and miscellaneous repairs to a 100-year-old swing bridge over the Hillsborough River. The Small Business Enterprise (SBE) subcontractor participation goal for this project is 0 percent. The statement protects project stakeholders by creating a documented record that payment has been made to all subcontractors whose work was included in the previous payment period before the general contractor receives additional payment.