6-Subcontractors Statement of Satisfaction.pdf.pdf

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Attached to
LED Sports Lighting Retrofit & Installation Term Contract B
Solicitation number
IFB-26-00075
Issued by
Hillsborough County, Florida

About this file

This file is a Subcontractor's Statement of Satisfaction form associated with Hillsborough County, Florida's LED Sports Lighting Retrofit & Installation Term Contract B. The document serves as an attachment to a General Contractor's Application for Payment, beginning with the second application submission. The form requires subcontractors whose work appeared on the prior Application for Payment to certify, under oath before a notary public, that all monies due from the General Contractor's payment application for the specified period of work have been received. The statement must be notarized in Hillsborough County, Florida, and include identifying information for the subcontractor, including name, address, and title of the person making the statement.

The underlying contract opportunity involves Hillsborough County Facilities Management & Real Estate Services procuring qualified contractor(s) to retrofit existing metal halide sports lighting systems to LED or install new LED sports lighting systems at various county athletic ballfields and play courts. The project is estimated at $8,000,000.00 over a four-year term, with funding allocated per the bid document based on the number of firms awarded. This subcontractor certification process ensures payment accountability and compliance throughout the contract performance period.

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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 .