Subcontractor Disclosure Form.pdf

PDF 112 KB Posted

Attached to
OLCC Salem Alarm Monitoring
Solicitation number
S-84500-00014529
Issued by
Marion County, Oregon

About this file

This is a First-Tier Subcontractor Disclosure Form issued by the State of Oregon Military Department for Invitation to Bid (ITB) #S-24800-00014530. The form is required to be submitted by bidders on or before the advertised closing date, or within two working hours after the closing time specified in the ITB. Bidders must list all first-tier subcontractors that will furnish labor or labor and materials, including the subcontractor name, category of work to be performed, and the dollar value of each subcontract. The form accommodates up to six subcontractors with space for additional sheets if needed. Failure to submit this disclosure form by the deadline will result in a nonresponsive bid that will not be considered for award.

The form requires completion by the bidder's authorized representative, who must provide their printed name, signature, email address, and phone number. Bidders with no subcontractors must enter "NONE" in the appropriate section. This disclosure requirement applies to the related OLCC Salem Alarm Monitoring procurement, which seeks comprehensive alarm monitoring and access control services for the Oregon Liquor and Cannabis Commission facility in Salem. The mandatory facility walkthrough is scheduled for August 7, 2025, at 10:00 AM PST, with quotes due by 3:30 PM PT on August 15, 2025. The solicitation expects quotes to remain firm for 30 days and does not specify explicit set-asides for disadvantaged enterprises.

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Other files

File Type Posted
Mandatory Bid Walk List - Salem Alarm Monitoring.PNG PNG image
Office Space Diagram.pdf PDF
RFQ - Salem Alarm Monitoring and Access Control.pdf PDF
ContractForServices.docx DOCX document

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Text version

DOJ Approved 3-20-25 Version ITB #S-24800-00014530 Page 24 of 59

CUI

CUI

State of Oregon – Oregon Military Department Invitation to Bid

EXHIBIT 4

FIRST-TIER SUBCONTRACTOR DISCLOSURE FORM

BIDDER NAME:

PROJECT NAME: ITB #:

CLOSING: Date: Time:

This form must be submitted at the location specified in the Invitation to Bid on the advertised Closing date or within two working hours after the advertised Closing date and time.

List below the name of each subcontractor that will be furnishing labor or will be furnishing labor and materials and that is required to be disclosed, the category of work that subcontractor will be performing and the dollar value of the subcontract. Enter “NONE” if there are no subcontractors that need to be disclosed. (ATTACH ADDITIONAL SHEETS IF NEEDED).

SUBCONTRACTOR NAME CATEGORY OF WORK DOLLAR VALUE

1.

2.

3.

4.

5.

6.

Failure to submit this form by the disclosure deadline will result in a nonresponsive bid. A nonresponsive bid will not be considered for award.

Form Submitted by Printed Name:

Signature:

Email Address

Phone #:

File details come from the government source that posted it. Updated .