New Search
FIRST-TIER SUBCONTRACTOR DISCLOSURE STATEMENT <br /> Project Title: 2009 Pavement Preservation Program on Bertelsen Rd from <br /> t W 11~' Ave to W 18~' Ave -Job #4501, Seneca Rd from <br /> Roosevelt Blvd to W 7th Ave -Job #4528, McKinley St from <br /> W 5~' Ave to W 11~' Ave -Job #4561 <br /> City of Eugene Project No. 4501, 4528, 4561 <br /> Bid Closing: Date: May 7, 2009 Time: 2:00 p.m. <br /> Submit to: 99 E. Broadway, Suite 400, Eugene Oregon 97401 <br /> Disclosure Deadline: 2:00 p.m. -This form must be submitted by bid closing date <br /> and time. <br /> Bidders are required to submit a first tier subcontractor disclosure form, substantially as described in <br /> ORS 279C.370, prior to the Bid • Closing Date and time. For this project the First-Tier <br /> Subcontractor Disclosure Statement must be submitted regardless of the bid amount. <br /> BIDDER INFORMATION <br /> Bidder's Name: WILDISH CONSTRUCTION CO. <br /> Contact Person: ,70E WORTH <br /> Bidder's Telephone Number: 5 41- 4 8 5 -17 0 0 <br /> ? Check here if the bid amount less deductive alternates, if any, is $100,000 or less. If the bid . <br /> amount less deductive alternates, if any, is equal to or less than $100,000, the remainder of the <br /> form does not need to be completed, but the form must still be submitted. <br /> List below the Name, Dollar Value, and Construction Contractors Board ("CCB") License Number, <br /> and Category of Work that will be performed by each subcontractor that will be furnishing labor, or <br /> labor and materials. Enter "NONE" if there are no subcontractors that need to be disclosed (IF <br /> NEEDED, ATTACH ADDITIONAL SHEETS). <br /> Name/Address Dollar Value/CCB# Category of Work <br /> 1I~~5 S~ ~a•a~j~B~i'1~a1~. W~~ ~.?i~..J~T <br /> f <br /> 2) <br /> <br /> . 3) . <br /> <br />