7-Subcontractors Statement of Satisfaction.pdf.pdf
PDF 118 KB Posted
- Attached to
- Countywide Fire Hydrant Replacement - WORCS-5
- Solicitation number
- IFB-26-00348
- Issued by
- Hillsborough County, Florida
About this file
This is a Subcontractor's Statement of Satisfaction form for the Countywide Fire Hydrant Replacement project managed by Hillsborough County Water Resources Department in Florida. The document serves as an attestation that must be attached to each Application for Payment submitted by the General Contractor beginning with the second payment application. The statement certifies 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 project details including the Project Number, Project Name, General Contractor name, and the specific Application for Payment period being covered.
The statement must be notarized before a Florida Notary Public and includes provisions for notarization via physical presence or online notarization. The document requires the subcontractor to be sworn under oath and must include the notary's signature, commissioned name, and identification of whether the signer was personally known or presented identification to the notary. This form is mandatory documentation for the payment process on the estimated $1,900,000 fire hydrant replacement project in Hillsborough County and ensures compliance with payment requirements to subcontractors throughout the contract duration.
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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 .