900364 first tier.pdf
PDF 199 KB Posted
- Solicitation number
- S-73000-00007117
- Issued by
- Lake County, Oregon
About this file
This is a First-Tier Subcontractor Disclosure Statement for a 2023 Slurry Seals project (Project No. 900364) issued by the City of Eugene, Oregon. The disclosure form requires bidders to identify all first-tier subcontractors that will furnish labor or labor and materials for the project. The bid closing was scheduled for June 15, 2023, at 2:00 p.m., with a disclosure deadline requiring submission within two working hours of bid closing. Bidders could submit the completed form as an attachment through the OregonBuys website, via email to Eugene.PWE.Bidding@eugene-or.gov, or by fax to 541-682-8410. The disclosure statement serves as a requirement under Oregon Revised Statute (ORS) 279C.370.
The disclosure form requires listing of subcontractors meeting specified thresholds: those furnishing labor or labor and materials with a dollar value equal to or greater than 5% of the total base bid amount less deductive alternates (or $15,000, whichever is larger), or subcontractors with a dollar value of $350,000 or more regardless of percentage. The form includes provisions for listing subcontractor name, address, dollar value, Construction Contractors Board (CCB) license number, and category of work. The submitted disclosure identifies Pave Northwest, Inc., with contact person Tim Yokum (541-246-4943), as the bidder with no subcontractors listed. Failure to submit the disclosure statement by the designated deadline will render the bid non-responsive and ineligible for award consideration.
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Other files
| File | Type | Posted |
|---|---|---|
| Attach Q - Mitigation Plan.pdf | ||
| SoleSource Public Notice.docx | DOCX document | |
| SoleSource Memo and Findings.docx | DOCX document |
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Text version
FIRST-TIER SUBCONTRACTOR DISCLOSURE STATEMENT
Project Title:
Project No.
Bid Closing:
2023 Slurry Seals 900364 Date: June 15, 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) ______________________ _________________________ _______________________
Pave Northwest, Inc.
Tim Yokum
541-246-4943
None
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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