900302 first tier.pdf
PDF 124 KB Posted
- Attached to
- Sole Source - Beckwith and Kuffel
- Solicitation number
- S-KS0043-00006263
- Issued by
- Marion County, Oregon
About this file
This is a First-Tier Subcontractor Disclosure Statement form for Project No. 900302, Polk Street Paving from West 18th Avenue to West 28th Avenue, issued by the City of Eugene, Oregon. The project bid closing date is April 11, 2023, at 2:00 p.m., with a disclosure deadline of within two working hours following the bid closing. Bidders must submit the completed disclosure form via attachment to their bid on the OregonBuys website, email to Eugene.PWE.Bidding@eugene-or.gov, or fax to 541-682-8410. The form requires disclosure of all first-tier subcontractors that will furnish labor or labor and materials, as mandated under ORS 279C.370.
Subcontractors must be disclosed if their dollar value equals or exceeds either 5% of the total base bid amount (less deductive alternates) or $15,000, whichever is larger, or if the dollar value is $350,000 or greater regardless of contract percentage. The disclosed subcontractor information must include the subcontractor's name and address, dollar value, Construction Contractors Board (CCB) license number, and category of work. One disclosed subcontractor is R&B Construction, LLC, located at 4107 Industrial Ave, Springfield, Oregon, with a CCB license number 240676, assigned a dollar value of $106,460.00 for concrete work. Failure to submit the disclosure form by the deadline will render the bid non-responsive and ineligible for award consideration.
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| File | Type | Posted |
|---|---|---|
| SOLE SOURCE PUBLIC NOTICE BECKWITH.pdf |
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Text version
FIRST-TIER SUBCONTRACTOR DISCLOSURE STATEMENT
Project Title: Polk Street Paving from West 18th Avenue to West 28th Avenue
Project No. 900302
Bid Closing: Date: April 11, 2023 Time: 2:00 p.m.
Disclosure Deadline: Within two working hours of the bid closing date and time.
Submit the form by:
• An attachment to the Bid using the OregonBuys website (see 00110.05(e)), at the time designated for receipt of Bids;
• Email transmission to the email address Eugene.PWE.Bidding@eugene-or.gov; or
• Fax transmission to 541-682-8410.
Bidders are required to submit a first tier subcontractor disclosure form, substantially as described in ORS 279C.370, within two working hours of the Bid Closing date and time.
BIDDER INFORMATION
Bidder’s Name:
Contact Person: ________________________________________________
Bidder’s Telephone Number: _________________________________________
List below the Name, Dollar Value, and Construction Contractors Board (“CCB”) License
Number, and Category of Work that will be performed by each subcontractor that will be furnishing labor, or labor and materials. Enter “NONE” if there are no subcontractors that need to be disclosed (IF NEEDED, ATTACH ADDITIONAL SHEETS).
Name/Address Dollar Value/CCB# Category of Work
1) ______________________ _________________________ _______________________
2) ______________________ _________________________ _______________________
3) ______________________ _________________________ _______________________
Dan Stalie
541-918-5100
R&B Construction, LLC
4107 Industrial Ave, Springfield, OR 97478
$106,460.00
CCB# 240676
Concrete
Name/Address Dollar Value/CCB# Category of Work
4) ______________________ _________________________ _______________________
5) ______________________ _________________________ _______________________
6) ______________________ _________________________ _______________________
7) ______________________ _________________________ _______________________
8) ______________________ _________________________ _______________________
The above listed first-tier subcontractor(s) will provide labor or labor and materials with a Dollar
Value equal to or greater than:
a) 5% of the total Base Bid amount less deductive alternates, if any, or $15,000, whichever is larger. 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 BID SUBMITTED BECOMING NON-RESPONSIVE, AND SUCH BIDS SHALL NOT BE
CONSIDERED FOR AWARD.
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