100315_13_First_Tier_Subs_Disclosure_Fillable.pdf
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- Solicitation number
- 2026.011-LUT CPS
- Issued by
- Washington County, Oregon
About this file
This is a First-Tier Subcontractors Disclosure Form required by Washington County, Oregon Department of Land Use & Transportation for Project 100315, the NW Walker Road improvement initiative between NW 185th Avenue and NW 173rd Avenue. The form serves as a mandatory disclosure document that prime contractors must submit to identify all qualifying first-tier subcontractors or indicate that none will be utilized on the project. Submission of the completed form is required no later than two work hours after the bid deadline through the OpenGov Procurement electronic system. The form requires prime contractors to list subcontractor names and addresses, dollar values of work, and categories of work to be performed. Failure to submit this disclosure form by the deadline will result in a non-responsive bid that will not be considered for award.
The form is a fillable document template with fields for the prime contractor's contact information, bid closing date and time, and up to five subcontractor entries. Contractors have the option to indicate "NONE" if no subcontractors meeting the requirements of subsection 00120.40(f) will be used on the project. Electronic submission through OpenGov Procurement is mandatory, and email submissions will not be accepted. This disclosure requirement is part of the broader procurement process for the roadway construction project estimated between $10,000,000 and $30,000,000, with bids due March 25, 2026, at 1:00 p.m.
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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 .