ATT-4-MWESB-Form.pdf
PDF 139 KB Posted
- Solicitation number
- S-63400-00009622
- Issued by
- Lake County, Moro City, Oregon
About this file
This is a Minority, Women, and Emerging Small Business (MWESB) and Disadvantaged Business Enterprise (DBE) Voluntary Self-Declaration Form issued by the City of Springfield for use in conjunction with Invitation to Bid #10969 for the 2024 Paving Improvements Project at Beverly Beach State Park, managed by the Oregon Parks and Recreation Department. The project encompasses comprehensive paving improvements at Beverly Beach State Park in Lincoln County, Oregon, including mobilization, traffic control, demolition, asphalt removal, base repair, roadway reconstruction, campsite expansion, geotextile fabric installation, base aggregate placement, asphalt concrete pavement installation, and pavement markings. A voluntary pre-bid conference was held on March 14, 2024, with bids due by March 26, 2024. The project is scheduled to commence on May 2, 2024, with Substantial Completion targeted for June 7, 2024, and Final Completion by June 14, 2024.
The form requests bidders to disclose certifications including Oregon Minority-owned Business, Oregon Woman-owned Business, Oregon Emerging Small Business, and Federal Disadvantaged Business Enterprise (DBE) designations. The self-declaration is voluntary and intended to assist the agency in evaluating outreach efforts to underrepresented business sectors rather than serve as a selection criterion. However, contractors must meet COBID ORS 200.055 certification requirements, indicating state preference for certified diverse businesses. The total project budget is estimated at $800,000, funded through state sources. Four bidders participated, with KNL Industries of Canby, Oregon submitting the lowest bid of $665,660.00. Contractors must be registered with the Oregon Construction Contractors Board, provide all temporary facilities at no additional charge, adhere to prevailing wage rates, and comply with comprehensive technical specifications.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit 1 Pricing Submittal Form~1.xlsx | XLSX spreadsheet | |
| Exhibit 1 Pricing Submittal Form REV 3-21-24.xlsx | XLSX spreadsheet | |
| Addendum 1 2024 Paving Improvements Beverly Beach State Park.docm | DOCM document | |
| S-63400-00009622 ITB Phase 1 Beverly Beach Paving Project Bid Tabulation_.xlsx | XLSX spreadsheet | |
| Notice of Intent to Award~4.docx | DOCX document | |
| S-63400-00009622 Preminary Bid Tabulation.docx | DOCX document | |
| Attachment A- Technical Specifications .pdf | ||
| ITB S-63400-00009622 Beverly Beach State Park Paving Project.pdf | ||
| Pre-bid Attendance .pdf | ||
| Attachment B-Drawings~1.pdf |
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Text version
Minority, Women, and Emerging Small Business/Disadvantaged Business Enterprise
MWESB/DBE Voluntary Self-Declaration for City Procurement # or Project No. P
The City of Springfield is seeking information on the various business entities that submit bids and proposals for working with the Department. We request that you provide the following information to assist us with evaluating our efforts at reaching the underrepresented sectors of the business and construction communities.
The Department does not intend to use this data as criteria for selecting the successful bidders or proposers for city-funded procurements. For procurements with state or federal DBE requirements, the Department will use the forms and criteria established by the state or federal agency for selecting the successful bidders or proposers.
Please include this form with your bid/proposal submittal to the City.
Prime Bidder/Proposer:
Business Name:
Contact Person:
CCB#/PE#/Other Registration:
Business Address:
Business Phone:
Please check each box indicating the business certif i cation type that your firm has with the State of Oregon or the federal government, if any:
Oregon Minority-owned Business
Oregon Woman-owned Business
Oregon Emerging Small Business
Federal Disadvantaged Business Enterprise (DBE)
First Tier Sub-contractors:
For each First Tier Subcontractor, provide the same information, using additional sheets as necessary:
ATTACHMENT 4
File details come from the government source that posted it. Updated .