2-PA2050 SBE Request to Change Subs.pdf

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Attached to
OneDFW and Customer Experience Events
Solicitation number
PA2050
Issued by
Dallas County, Texas

About this file

This is a Request for Approval to Change Original Schedule of Subcontractors (Form 102 SBE) submitted to the Dallas/Fort Worth International Airport for the OneDFW and Customer Experience Events contract. The form permits contractors to request approval for additions and deletions of Small Business Enterprise (SBE) subcontractors from the original Schedule of Subcontractors submitted with their initial bid or proposal. The contractor must identify each change by company name, trade, SBE status, relevant market area county, and dollar amount, along with detailed justification for the modification. The contract carries a 20% SBE goal and operates under a five-year term.

Good cause for terminating or substituting an SBE subcontractor includes circumstances such as the subcontractor's failure to execute a written contract, inability to meet bond requirements, bankruptcy or credit unworthiness, suspension or debarment status, ineligibility to work on Airport projects, determination of non-responsibility by the Business Development Department (BDD), voluntary withdrawal, ineligibility for the type of work required, death or disability of the SBE owner, or other good cause as determined by BDD in its sole discretion. The form requires certification by an authorized representative and approval by the Vice President or designee of the Business Development Department. The contract solicitation is conducted in accordance with Texas Local Government Code Title 8, Subtitle A, Chapter 252 and/or Government Code 2254.

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Text version

Form 102 SBE

REQUEST FOR APPROVAL TO CHANGE

ORIGINAL SCHEDULE OF SUBCONTRACTORS

Contract Number________________________________________________________________________

Project Name___________________________________________________________________________

Contractor Name_________________________________________________________________________, requests approval of the following addition(s) and/or deletion(s) on the SCHEDULE OF SUBCONTRACTORS (SBE Form No. 90), as originally submitted as part of the bid/proposal on the above-named project.

CHANGE

Check (X) block for each transaction.

ADD DELETE COMPANY NAME TRADE SBE

STATUS

RELEVANT

MARKET AREA

COUNTY

DOLLAR

AMOUNT

JUSTIFICATION

The Contractor must demonstrate good cause to terminate or substitute the SBE and seek BDD approval prior to taking any termination or substitution action. Good cause includes the following circumstances: 1. The listed SBE subcontractor fails or refuses to execute a written contract. 2. The listed SBE subcontractor fails or refuses to meet the Contractor’s reasonable, nondiscriminatory bond requirements. 3. The listed SBE subcontractor becomes bankrupt, insolvent or exhibits credit unworthiness. 4. The listed SBE is ineligible to work on Airport projects because of suspension and debarment proceedings pursuant to federal or state law or other applicable laws or regulations. 5. BDD has determined that the listed SBE subcontractor is not a responsible contractor. 6. The listed SBE subcontractor voluntarily withdraws from the project and provides BDD written notice of its withdrawal. 7. The listed SBE subcontractor is ineligible to receive credit for the type of work required. 8. The SBE owner dies or becomes disabled with the result that the listed SBE subcontractor is unable to complete its work on the Contract. 9. Other good cause as determined in BDD’s sole discretion. Attach additional sheets as necessary.

CERTIFICATION OF AFFIDAVIT

The above information is true and complete to the best of my knowledge and belief. I further understand and agree that this certification shall become a part of my contract with the Dallas/Fort Worth International Airport Board.

Name of Authorized Representative: _________________________________________ E-mail Address: ___________________________ (Please print or type)

Signature__________________________________________________ Date: ___________________________________

Routed To:

(Check One) _____ Design, Code & Construction Dept.

_____ Procurement & Materials Management Dept.

Approved by:

Vice President or Designee Business Development Dept.

ContractSolicitation Number:
Project Name:
Contractor Name:
ADDRow1:
DELETERow1:
COMPANY NAMERow1:
TRADERow1:
MWBE STATUSRow1:
RELEVANT MARKET AREA COUNTYRow1:
DOLLAR AMOUNTRow1:
ADDRow2:
DELETERow2:
COMPANY NAMERow2:
TRADERow2:
MWBE STATUSRow2:
RELEVANT MARKET AREA COUNTYRow2:
DOLLAR AMOUNTRow2:
ADDRow3:
DELETERow3:
COMPANY NAMERow3:
TRADERow3:
MWBE STATUSRow3:
RELEVANT MARKET AREA COUNTYRow3:
DOLLAR AMOUNTRow3:
ADDRow4:
DELETERow4:
COMPANY NAMERow4:
TRADERow4:
MWBE STATUSRow4:
RELEVANT MARKET AREA COUNTYRow4:
DOLLAR AMOUNTRow4:
ADDRow5:
DELETERow5:
COMPANY NAMERow5:
TRADERow5:
MWBE STATUSRow5:
RELEVANT MARKET AREA COUNTYRow5:
DOLLAR AMOUNTRow5:
ADDRow6:
DELETERow6:
COMPANY NAMERow6:
TRADERow6:
MWBE STATUSRow6:
RELEVANT MARKET AREA COUNTYRow6:
DOLLAR AMOUNTRow6:
Name of Authorized Representative:
Email Address:
Check One:
Design Code Construction Dept:
Procurement Materials Management Dept:
Date:
Text1:

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