100762_13_First_Tier_Subs_Disclosure_Fillable.pdf
PDF 183 KB Posted
- Solicitation number
- 2026.035-LUT CPS
- Issued by
- Washington County, Oregon
About this file
This is a First-Tier Subcontractors Disclosure Form for Washington County, Oregon's Department of Land Use & Transportation related to Project 100762, the NW Turk Road Bridge Replacement (#671374). The form is used to disclose all first-tier subcontractors meeting specific requirements for the design-build bridge replacement project valued between $1,000,000 and $2,000,000. The project involves complete replacement of an existing timber bridge structure over West Fork Dairy Creek with a new 75-foot precast prestressed concrete slab beam bridge, along with installation of temporary traffic control and erosion control measures, construction of roadway approaches spanning 370 feet, installation of guardrails, driveway approaches, drainage improvements, sheet pile retaining walls, riprap slope protection, permanent signing, and erosion and sediment control installations. Bids are due electronically through the OpenGov Procurement portal by April 15, 2026, at 1:00 p.m., with public opening and reading via Microsoft Teams. The contract requires a two-phase schedule with the contractor reopening Turk Road to two traffic lanes no later than 90 calendar days after closure and completing all work by October 15, 2026.
First-tier subcontractors with contracts equal to or greater than five percent of the total project bid or $350,000 must be disclosed using this form within two work hours after bid closing. The form requires submission of the subcontractor name and address, dollar value of the contract, and category of work to be performed. Submissions must be made electronically through the OpenGov Procurement portal linked to the bid, with email submissions not accepted. Failure to submit the completed disclosure form by the deadline will result in a non-responsive bid that will not be considered for award. The form includes a checkbox option to indicate "NONE" if no subcontractors meeting the disclosure requirements will be used on the project.
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Text version
NW Turk Road 1-5 Project # 100762 Bridge Replacement (#671374) Bid # 2026.035-LUT CPS
Page of
1.30 FIRST-TIER SUBCONTRACTORS DISCLOSURE FORM
Project Name: NW Turk Road Bridge Replacement (#671374) Project No. 100762 Bid No. 2026.035-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.
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