7-Subcontractors Statement of Satisfaction.pdf.pdf

PDF 118 KB Posted

Attached to
Intersection Improvements for East County Line Road at Grand Hampton Drive
Solicitation number
IFB-26-00398
Issued by
Hillsborough County, Florida

About this file

This is a Subcontractor's Statement of Satisfaction form used by Hillsborough County, Florida for the Intersection Improvements for East County Line Road at Grand Hampton Drive project, estimated at $1,239,930.07. The form serves as an attachment to the General Contractor's Application for Payment, beginning with the second application and continuing for each subsequent payment period. The document requires each subcontractor whose work appeared on the prior Application for Payment to certify, under oath, that all monies due to them from the General Contractor have been paid in full. The statement must be notarized before a Florida notary public and include the project number, project name, general contractor identification, application for payment number, and the period of work covered.

The form establishes a requirement for verification of subcontractor payment satisfaction as a condition of the General Contractor receiving payment from the County. This mechanism ensures that subcontractors are paid for their work before the General Contractor receives reimbursement, protecting the interests of the subcontracting workforce. The Hillsborough County solicitation includes a 5% Small Business Enterprise (SBE) participation goal for subcontractors on this project, reinforcing the County's commitment to supporting qualified small businesses in the construction industry.

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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 .