2026 DPSST Sealcoating First Tier Subcontractor Disclosure.pdf

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Attached to
2026 DPSST Parking Lot Seal Coating
Solicitation number
S-25900-00016178
Issued by
Marion County, Oregon

About this file

This is a First-Tier Subcontractor Disclosure Form for the 2026 DPSST Sealcoating project located at 4190 Aumsville Highway SE, Salem, Oregon. The form is used by bidding contractors to disclose any first-tier subcontractors that will be utilized on the project. The bid opening date is scheduled for April 1, 2026. Contractors are required to list all first-tier subcontractors, including the firm names, dollar amounts, and categories of work for each subcontractor. Alternatively, contractors may check a box to indicate that no first-tier subcontractors will be used or that they are not subject to disclosure requirements. The form requires contact name and phone number information for the bidding contractor.

Submission of this disclosure form by the designated deadline is mandatory; failure to submit by the deadline will result in a non-responsive bid that will not be considered for award. The form accommodates up to five first-tier subcontractors and requires specification of the dollar amount and work category for each listed subcontractor. No pricing terms, funding sources, or other financial details beyond subcontractor dollar amounts are specified in this disclosure document.

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Text version

FIRST-TIER SUBCONTRACTOR DISCLOSURE FORM

Project Name: 2026 DPSST Sealcoating Project Location: 4190 Aumsville Hwy SE, Salem, OR 97317 Bid Opening Date: April 1, 2026

Name of Bidding Contractor:

CHECK THIS BOX IF YOU WILL NOT BE USING ANY FIRST-TIER SUBCONTRACTORS OR IF

YOU ARE NOT SUBJECT TO THE DISCLOSURE REQUIREMENTS.

FIRST-TIER SUBCONTRACTORS

Firm Name Dollar Amount

Category of Work

Firm Name Dollar Amount

Category of Work

Firm Name Dollar Amount

Category of Work

Firm Name Dollar Amount

Category of Work

Firm Name Dollar Amount

Category of Work

Contact name:

Contact phone:

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.

Name of Bidding Contractor:
Firm Name:
Dollar Amount:
Category of Work:
Firm Name_2:
Dollar Amount_2:
Category of Work_2:
Firm Name_3:
Dollar Amount_3:
Category of Work_3:
Firm Name_4:
Dollar Amount_4:
Category of Work_4:
Firm Name_5:
Dollar Amount_5:
Category of Work_5:
Contact Name:
Contact Phone:
Check Box3: Off

File details come from the government source that posted it. Updated .