Form_1._Personal_Professional_Sub-consultant_Disclosure_Form.pdf
PDF 1 MB Posted
- Attached to
- Public Works Asset Management Replacement
- Solicitation number
- 26-062
- Issued by
- Washington County, Barlow City, Oregon
About this file
This is a Subconsultant Disclosure Form for Personal and Professional Services Contracts issued by the City of Beaverton, Oregon in support of the Public Works Asset Management Replacement procurement (Solicitation #26-062). The form is designed for prime contractors to disclose all subconsultants—both certified and non-certified—who will perform work on the Enterprise Asset Management (EAM) system replacement project. The form requires identification of up to eight subconsultants by complete legal name, address, phone number, description and scope of work, dollar value of subcontracts, and relevant business certifications. Proposals are due electronically by April 23, 2026, at 2:00 p.m., with contract award anticipated by June 16, 2026. Services are scheduled to commence July 1, 2026, and be completed by July 1, 2027, with the contract renewable for up to four additional one-year terms at the City's option due to the critical deadline for sunsetting the current Cityworks application.
The City of Beaverton has established mandatory participation requirements under its Equity Procurement Program, requiring prime contractors to demonstrate utilization of certified disadvantaged business enterprises including Emerging Small Business (ESB), Minority-owned Business (MBE), Women-Owned Business (WBE), Service-Disabled Veteran-Owned Business (SDV), Disadvantaged Business Enterprise (DBE), and Airport Concessions Disadvantaged Business Enterprise (ACDBE) designations. All prime contractors must obtain written authorization from the Purchasing Agent before replacing, substituting, or adding any subcontractor to the project. No specific contract value or budget range is disclosed in the procurement documents; the City reserves the right to reject any or all proposals and conduct best and final offer negotiations with top-tier proposers.
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Text version
Company Name: ______________________________________ Project Name: _____________________________________________________
LIST ALL SUBCONSULTANTS —CERTIFIED AND NON-CERTIFIED
ALL SUBCONSULTANTS
(Use the Subconsultants complete legal name)
DESCRIPTION OR SCOPE OF WORK
(TYPE OF WORK TO BE PERFORMED)
DOLLAR VALUE OF
SUBCONTRACT
LIST ALL CERTIFICATIONS
(ESB; MBE, WBE, SDV, DBE, ACDBE)
Name ______________________________________
Address ____________________________________
City/St/Zip __________________________________
Phone ______________________________________
Name ______________________________________
Address ____________________________________
City/St/Zip __________________________________
Phone ______________________________________
Name ______________________________________
Address ____________________________________
City/St/Zip __________________________________
Phone ______________________________________
Name ______________________________________
Address ____________________________________
City/St/Zip __________________________________
Phone ______________________________________
*ESB: Emerging Small Business; MBE: Minority-owned Business; WBE: Women-Owned Business; SDV: Service-Disabled Veteran-Owned Business;
DBE & ACDBE Disadvantaged Business Enterprise Rev 5/6/19
CITY OF BEAVERTON
PERSONAL / PROFESSIONAL SERVICES CONTRACT: SUBCONSULTANT DISCLOSURE FORM 1
ALL SUBCONSULTANTS
(Use the Subconsultants complete legal name)
DESCRIPTION OR SCOPE OF WORK
(TYPE OF WORK TO BE PERFORMED)
DOLLAR VALUE OF
SUBCONTRACT
LIST ALL CERTIFICATIONS
(ESB; MBE, WBE, SDV, DBE, ACDBE)
Name ______________________________________
Address ____________________________________
City/St/Zip __________________________________
Phone ______________________________________
Name ______________________________________
Address ____________________________________
City/St/Zip __________________________________
Phone ______________________________________
Name ______________________________________
Address ____________________________________
City/St/Zip __________________________________
Phone ______________________________________
Name ______________________________________
Address ____________________________________
City/St/Zip __________________________________
Phone ______________________________________
*ESB: Emerging Small Business; MBE: Minority-owned Business; WBE: Women-Owned Business; SDV: Service-Disabled Veteran-Owned Business;
DBE & ACDBE Disadvantaged Business Enterprise Rev 5/6/19
CITY OF BEAVERTON
PERSONAL / PROFESSIONAL SERVICES CONTRACT: SUBCONSULTANT DISCLOSURE FORM 1
LIST ALL SUBCONSULTANT—CERTIFIED AND NON-CERTIFIED
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