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 Cape Seal Pavement Preservation project estimated at $2,010,823.90. The form serves as an attachment to a General Contractor's Application for Payment beginning with the second application and thereafter. The statement documents that all subcontractors whose work appeared on the prior Application for Payment have received payment from the General Contractor for work completed during the specified period. The form requires the subcontractor to provide their name, address, title, and project details including Project Number, Project Name, and General Contractor identification. The statement must be sworn and notarized before a Florida Notary Public, with the notary documenting whether the person making the statement was personally known or identified through produced identification.

The document serves as a financial assurance mechanism within the payment certification process, requiring subcontractors to confirm receipt of funds before the General Contractor can proceed with subsequent payment applications. This statement protects the county's interests by ensuring that subcontractors and materialmen are paid and cannot file liens against the project. The form was updated as of April 9, 2020, and applies specifically to Hillsborough County's pavement preservation work at four designated locations: Imperial Key, Wyndham Lakes Drive, Tarpon Drive, and River Close Boulevard, which may include minor milling and resurfacing operations where necessary.