5-ITB EXHIBIT D First Tier Subcontractor Disclosure Form .docx
DOCX document 29 KB Posted
- Attached to
- Bend Bikeways Construction for SE 9th Street, NE Bear Creek Road, and SE 15th Street - North
- Solicitation number
- 26-3233
- Issued by
- Deschutes County, Oregon
About this file
This is a First-Tier Subcontractor Disclosure Form required by the City of Bend, Oregon for a Public Improvement project exceeding $100,000 in value. The form applies to the Bend Bikeways Construction project for SE 9th Street, NE Bear Creek Road, and SE 15th Street - North, which involves construction of shared use paths adjacent to three separate roads. The scope of work includes pathway and ADA ramp construction, retaining walls, drainage and stormwater infrastructure, signing, striping, and landscape restoration. The project requires traffic control management and will be executed over a multiple-month period as coordinated with the City's Project Manager. Bidders must submit sealed bids by the specified bid opening and closing date and time.
Bidders are required to disclose information about first-tier subcontractors whose contract value equals or exceeds either 5 percent of the project bid with a minimum of $15,000 or $350,000 regardless of percentage. The disclosure form must be submitted within two hours of bid closing and include the subcontractor's name and address, Construction Contractor Board registration number if required, and the dollar amount of work. Bidders with no qualifying subcontractors must indicate "NONE" on the form. The City will reject any bid that fails to include the completed disclosure form by the stated deadline. Bidders may submit the form as part of the bid package or by uploading the document to the Bonfire Portal.
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Text version
EXHIBIT D
FIRST-TIER SUBCONTRACTOR DISCLOSURE FORM – PROJECTS OVER $100,000.00
(ORS 279C.370)
«Contract_Title» «Project_Number» Bids Due: «Bid_OpeningClosing» at «Bid_Opening_and_Closing_Time»
PRIME CONTRACTOR NAME
Bidders are required to disclose information about certain first-tier subcontractors when the contract value for a Public Improvement is greater than $100,000 (see ORS 279C.370). Specifically, when the contract amount of a first-tier subcontractor (furnishing labor) is greater than or equal to: (i) 5 percent of the project Bid, but at least $15,000, or (ii) $350,000 regardless of the percentage, you must separately disclose the following information about that Subcontractor Listing within 2 hours of Bid closing:
1. The Subcontractor’s name and address,
2. The Subcontractor’s Construction Contractor Board registration number, if one is required,
3. Dollar amount of work.
If you will not be using any subcontractors that are subject to the above disclosure requirements, you are required to indicate “NONE”.
The City must reject a Bid if the bidder fails to submit the disclosure form with this information by the stated deadline. The bidder may submit the disclosure form within the Bid package, by uploading the document to Bonfire Portal.
| Contractor Name & Address |
| Work Type |
| CCB Number |
| Amount |
Add additional sheets, if necessary.
Contact name: _______________________ Telephone:___________________
Signature _____________________________________________________
Revision: February 19, 2026 CHAPTER IV : SEC 02220 | 26 of 27
File details come from the government source that posted it. Updated .