Form_1._Personal_Professional_Sub-consultant_Disclosure_Form.pdf
PDF 1 MB Posted
- Solicitation number
- 27-017
- Issued by
- Washington County, Barlow City, Oregon
About this file
This is a Subconsultant Disclosure Form for the City of Beaverton's Personal/Professional Services Contract related to the Beaverdam Sites Solicitation and Commercial Real Estate Brokerage Services project. The form is designed for prime contractors to identify and list all subconsultants—both certified and non-certified—that will be engaged on the project. The form requires documentation of each subconsultant's complete legal name, address, phone number, scope of work or description of services to be performed, dollar value of the subcontract, and applicable certifications including Emerging Small Business (ESB), Minority-Owned Business (MBE), Women-Owned Business (WBE), Service-Disabled Veteran-Owned Business (SDV), Disadvantaged Business Enterprise (DBE), and Adaptive Capacity DBE (ACDBE). The form accommodates up to eight subconsultants and requires the prime contractor's company name and project name at the top.
The form emphasizes transparency and accountability in subcontracting arrangements for the City of Beaverton's procurement processes. By requiring detailed disclosure of subconsultants and their certifications, the form supports the city's goals of promoting participation by minority-owned, women-owned, veteran-owned, emerging small, and disadvantaged businesses in public contracting opportunities. The form does not specify pricing terms, contract duration, or specific set-asides but serves as a compliance and documentation tool to ensure that prime contractors identify qualified subconsultants and their respective roles in project delivery.
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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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File details come from the government source that posted it. Updated .