6-06-Exhibit D First Tier Subcontractor Disclosure 2026 Micro Surfacing 26-3444.pdf

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Attached to
2026 Micro Surfacing Type II & III State and local contract opportunity
Solicitation number
26-3444
Issued by
Deschutes County, Oregon

About this file

This is a First-Tier Subcontractor Disclosure Form required by the City of Bend, Oregon for the 2026 Micro Surfacing Type II & III Street Preservation Project (Project No. ST26MS). The project involves applying highly modified emulsified asphalt (HIMA) micro surfacing across approximately 34,135 square yards of Type III micro surfacing for rut filling and 78,515 square yards (9 lane miles) of Type II micro surfacing as a lane seal. Sealed bids are due on March 24, 2026, at 2:00 p.m., and bidders must submit the completed disclosure form within 2 hours of bid closing.

Bidders are required to disclose all first-tier subcontractors furnishing labor when the contract value exceeds $100,000. Specifically, disclosure is mandatory for subcontractors whose work equals or exceeds either 5 percent of the project bid with a minimum of $15,000 or $350,000 regardless of percentage. The disclosure must include the subcontractor's name and address, Construction Contractor Board (CCB) 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 submitted without the completed disclosure form by the stated deadline. Bidders may submit the form within the bid package or upload it directly 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)

2026 Micro Surfacing Type II & III, Project No. ST26MS Bids Due: March 24, 2026, at 2:00 p.m.

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 _____________________________________________________

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