100315_13_First_Tier_Subs_Disclosure_Fillable.pdf
PDF 182 KB Posted
- Solicitation number
- 2026.011-LUT CPS
- Issued by
- Washington County, Oregon
About this file
This is a First-Tier Subcontractors Disclosure Form for Washington County, Oregon, relating to Project 100315 (NW Walker Road - NW 185th Ave to NW 173rd Ave, Bid No. 2026.011-LUT CPS). The form is designed to be completed and submitted by the prime contractor electronically through OpenGov Procurement either with the initial bid submission or through a second linked solicitation activated after bid opening. The disclosure must be submitted no later than two work hours after the bid due date. The project involves roadway widening and construction of a 5-lane section on NW Walker Road in Washington County, including curbs, sidewalks, illumination, intersection improvements, retaining walls, sound walls, storm water conveyance systems with water quality treatment and detention, signing, striping, traffic signals, waterline installation, and incidental work as specified. The project cost range is estimated between $10,000,000 and $30,000,000.
The form requires disclosure of all first-tier subcontractors meeting the requirements of subsection 00120.40(f), with fields for subcontractor name and address, dollar value of work, and category of work to be performed. The form includes space for up to five subcontractors and provides a checkbox option to indicate "NONE" if no subcontractors meeting the disclosure requirements will be used on the project. Failure to submit the completed disclosure form by the specified deadline will result in the bid being deemed non-responsive and ineligible for award consideration. Email submissions are not permitted; all submissions must be made through the OpenGov Procurement system.
View the file
Other files
Show all 11
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
NW Walker Road 1-5 Project # 100315 NW 185th Ave to NW 173rd Ave Bid # 2026.011-LUT CPS
Page of
1.30 FIRST-TIER SUBCONTRACTORS DISCLOSURE FORM
Project Name: NW Walker Road - 185th Ave. to 173rd Ave. Project No. 100315 Bid No. 2026.011-LUT CPS
Bid Closing Date: ___________________________________________________ Bid Closing Time: ___________________________________
Prime Contractor:______________________________________ Contact Name:______________________ Phone No.:______________________
Subcontractor Name and Address
Dollar Value Category of Work to be
Performed by Subcontractor
• Submit this form electronically (on OpenGov Procurement) with the Bid, or on a second, linked solicitation that will be activated after the bid opening. Make additional copies if necessary. Email submissions will not be accepted.
• This list is to be completed and submitted no later than two work hours after the time bids are due.
• If subcontractors subject to the requirement of subsection 00120.40(f) are not used in this project, indicate “NONE” on this form and submit.
Failure to submit this form by the disclosure deadline will result in a non-responsive bid. A non-responsive bid will not be considered for award.
(11/2021)
☐ NONE
Check this box if no subcontractors meeting the requirements of 00120.40(f) will be used on this project.
| Page: |
| Bid Closing Date: |
| Bid Closing Time: |
| Prime Contractor: |
| Contact Name: |
| Phone No: |
| Subcontractor Name and AddressRow1: |
| Dollar ValueRow1: |
| Category of Work to be Performed by SubcontractorRow1: |
| Subcontractor Name and AddressRow2: |
| Dollar ValueRow2: |
| Category of Work to be Performed by SubcontractorRow2: |
| Subcontractor Name and AddressRow3: |
| Dollar ValueRow3: |
| Category of Work to be Performed by SubcontractorRow3: |
| Subcontractor Name and AddressRow4: |
| Dollar ValueRow4: |
| Category of Work to be Performed by SubcontractorRow4: |
| Subcontractor Name and AddressRow5: |
| Dollar ValueRow5: |
| Category of Work to be Performed by SubcontractorRow5: |
| # Pages: |
| Check Box1: Off |
File details come from the government source that posted it. Updated .