7-Subcontractors Statement of Satisfaction.pdf.pdf
PDF 118 KB Posted
- Attached to
- Roadway Resurfacing and Repair Contract
- Solicitation number
- IFB-25-00314
- Issued by
- Hillsborough County, Florida
About this file
This document is a Subcontractor's Statement of Satisfaction form updated on 4.9.2020, specifically for use in Hillsborough County, Florida. The form is designed to be an attachment to a General Contractor's Application for Payment, and is intended to be submitted beginning with the second payment application. The form serves as a sworn statement by a subcontractor confirming that they have been paid all monies due for a specific period of work on a designated project.
The form requires detailed notarization, with options for physical presence or online notarization, and includes fields for documenting the subcontractor's name, address, title, project number, project name, general contractor, and payment application details. The document provides a formal mechanism for subcontractors to verify payment receipt, which helps ensure transparency and accountability in contract payment processes. The form must be signed and notarized, with provisions for identifying the individual through personal knowledge or produced identification.
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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 .