Subcontractors Statement of Satisfaction.pdf.pdf

PDF 118 KB Posted

Attached to
Northwest Transfer Station Community Collection Center (NWTS CCC) Floor Upgrades
Solicitation number
IFB-26-00265
Issued by
Hillsborough County, Florida

About this file

This is a Subcontractor's Statement of Satisfaction form used by Hillsborough County, Florida for construction projects. The document serves as an attestation that a general contractor has paid all monies due to subcontractors for work completed during a specific application for payment period. The statement must be notarized and attached to each application for payment beginning with the second submission. The form requires identification of the subcontractor, their address, title, the project number and name, the general contractor's name, the application for payment number, and the work period covered. The statement is sworn under oath before a Florida notary public and certifies that all compensation owed to the subcontractor has been received in full.

This form is specifically applicable to the Northwest Transfer Station Community Collection Center Floor Upgrades project in Hillsborough County, an estimated $2,243,136.50 construction contract for cast-in-place concrete work and related demolition services. The project establishes a 5 percent Small Business Enterprise (SBE) subcontractor participation goal. The Subcontractor's Statement of Satisfaction ensures payment compliance throughout the project execution and serves as a mechanism to verify that general contractors are meeting their financial obligations to subcontractors before receiving subsequent payment applications from the county.

View the file

Other files

File Type Posted
Consent of Surety-Change Order.pdf.pdf PDF
23-IFB-26-00265 Payment Bond.pdf PDF
20-Blanket Additional Insured Policy Sample.pdf PDF
9-Substitute W9 Form.pdf.pdf PDF
5-Subcontractors Statement of Satisfaction.pdf.pdf PDF
SBE-2 Goal Participation Tutorial.mp4 MP4 file
1. IFB-26-00265 Terms and Conditions.pdf PDF
17-Attachment B - Measurement and Payment.pdf PDF
22-IFB-26-00265 Bid Bond.doc DOC document
7-Change Order Form.pdf.pdf PDF
Drug Free Workplace Form.doc.doc DOC document
IFB-26-00265 Performance Bond.pdf PDF
Attachment C - Technical Specifications.pdf PDF
11-SBE Subcontractors Material Suppliers List SBE-1 Form.pdf PDF
Allowance Authorization Release Form.pdf.pdf PDF
14-SBE-2 Goal Participation Tutorial.mp4 MP4 file
Application for Payment.pdf.pdf PDF
SBE Subcontractors Material Suppliers List SBE-1 Form.pdf PDF
4-Consent of Surety-Change Order.pdf.pdf PDF
19-Attachment D - Drawings.pdf PDF
Attachment B - Measurement and Payment.pdf PDF
Change Order Form.pdf.pdf PDF
Blanket Additional Insured Policy Sample.pdf PDF
24-IFB-26-00265 Performance Bond.pdf PDF
18-Attachment C - Technical Specifications.pdf PDF
26-1. IFB-26-00265 Terms and Conditions.pdf PDF
21-IFB-26-00265 Agreement.docx DOCX document
6-Consent of Surety to Final Payment.pdf.pdf PDF
2-Allowance Authorization Release Form.pdf.pdf PDF
16-Additional Insured Policy Sample.pdf PDF
Consent of Surety to Final Payment.pdf.pdf PDF
Subcontractor Letter of Intent .pdf PDF
10-Direct Deposit Authorization Form 5.15.2025.pdf.pdf PDF
Attachment D - Drawings.pdf PDF
AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 02.26.2026.docx DOCX document
Substitute W9 Form.pdf.pdf PDF
8-Insurance Certificate.doc.doc DOC document
IFB-26-00265 Payment Bond.pdf PDF
Attachment A - Insurance Requirements.pdf PDF
13-AFFIDAVIT OF COMPLIANCE - Denying Doing Business with a Foreign Country of Concern 02.26.2026.docx DOCX document
IFB-26-00265 Agreement.docx DOCX document
Insurance Certificate.doc.doc DOC document
Direct Deposit Authorization Form 5.15.2025.pdf.pdf PDF
IFB-26-00265 Bid Bond.doc DOC document
25-Attachment A - Insurance Requirements.pdf PDF
Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf PDF
Additional Insured Policy Sample.pdf PDF
12-Contractors Affidavit for Payment of Debts and Claims 02.18.2026.pdf PDF
1-Drug Free Workplace Form.doc.doc DOC document
3-Application for Payment.pdf.pdf PDF
Show 40 more

Latest 50 of 51 listed here. See the rest on GovTribe.

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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 .