6-First-Tier Subcontractor Disclosure Form.pdf

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Attached to
Cascade Wells 6A and 6B Chlorination System, CIPWT00C36
Solicitation number
2027-20
Issued by
Multnomah County, Oregon

About this file

This is a First-Tier Subcontractor Disclosure Form for the City of Gresham, Oregon, related to the Cascade Wells 6A and 6B Chlorination System project (CIPWT00C36). The project involves installing two well chlorination systems at 640 223rd Avenue in Gresham. The bid closing date is November 24, 2026, at 2:00 PM, and the completed disclosure form must be submitted to Cameron Lee (503-618-2738) at the specified location within two working hours after the advertised bid closing time or via email at Cameron.lee@greshamoregon.pov or through the Bonfire vendor discussion section. The City's project estimate exceeds $100,000, triggering the mandatory disclosure requirement for this form.

Bidders are required to disclose all first-tier subcontractors providing labor or labor and materials with a dollar value equal to or greater than either 5% of the total contract price (with a minimum threshold of $15,000) or $350,000 regardless of percentage. Failure to submit the completed disclosure form by the deadline will result in a nonresponsive bid that will not be considered for award. The form allows bidders to enter "NONE" if no qualifying subcontractors are involved in the project. Bidders are responsible for meeting the submission deadline through mail, delivery service, hand delivery, email, or electronic upload in Bonfire.

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Text version

CONTRACT NO._____________________ WIFIA Project Bid Book (REV. 3/22)

PROJECT: CASCADE WELLS 6A AND 6B WELL CHLORINATION PAGE: 14

(F) FIRST-TIER SUBCONTRACTOR DISCLOSURE FORM

CASCADE WELLS 6A AND 6B CHLORINATION SYSTEM, CIPWT00C36

Person designated to receive form: Cameron Lee Phone #: 503-618-2738

Bid Closing Date: 11/24/2026 Bid Closing Time: 2:00 AM PM

If the City’s estimate of the Project is more than $100,000, this form must be submitted at the location specified in the Invitation to Bid on the advertised bid closing date and within two (2) working hours after the advertised bid closing time.

List below the Name, Dollar Value, and Category of Work of each subcontractor that will be furnishing labor or labor and materials and that is required to be disclosed, the dollar value of the subcontract and the category of work that the subcontractor will be performing. Enter "NONE" if there are no subcontractors that need to be disclosed.

SUBCONTRACTOR NAME DOLLAR VALUE CATEGORY OF WORK

ATTACH ADDITIONAL SHEETS IF NEEDED.

The above listed first-tier subcontractor(s) are providing labor or labor and materials with a Dollar Value equal to or greater than:

a.) 5% of the total Contract Price, but at least $15,000 (including all alternates). If the Dollar Value is less than $15,000 do not list the subcontractor above; or b.) $350,000 regardless of the percentage of the total Contract Price.

Failure to submit this form by the disclosure deadline will result in a nonresponsive bid. A nonresponsive bid will not be considered for award. IT IS THE RESPONSIBILITY OF BIDDERS

TO SUBMIT THIS DISCLOSURE FORM AND ANY ADDITIONAL SHEETS BY THE

DEADLINE. SEE PWS SECTION 102 - INSTRUCTIONS TO BIDDERS.

The completed forms may be submitted either by:

• Uploading as an attachment in the Vendor Discussion section of bid in Bonfire

• Submitted by mail, delivery service, or hand delivered,

• Submitted by email to Cameron.lee@greshamoregon.pov

Form Submitted by (Bidder’s Name):

Contractor’s Name:

Contractor’s Signature: Phone Number: _____ mailto:Cameron.lee@greshamoregon.pov

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