Attachment_-_Request_for_Substitution_-_Exemption.pdf
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- Solicitation number
- IFB-26-0107
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Request for Substitution/Exemption form issued by the City of Phoenix Public Transit Department for use in conjunction with state and local procurement contracts. The form must be submitted to the City of Phoenix Public Transit Department Compliance Section prior to any modifications to proposed Disadvantaged Business Enterprise (DBE) utilization statements or contractor monthly DBE utilization forms. Prime contractors may request exemptions to release proposed DBE subcontractors, substitute DBE subcontractors, change the scope of work performed by DBE subcontractors, or reduce amounts originally proposed for DBE subcontractors. The form requires the duly authorized representative of the prime contractor to certify their authority to request the exemption and to provide a summary of good faith efforts undertaken in finding additional DBE participation. Supporting documentation must be attached as necessary. The City of Phoenix Contract Compliance Section reviews and approves all requests, noting the revised DBE goal and utilization percentages, with a designated Contract Compliance Specialist assigned to each submission.
The form applies to the City of Phoenix's five-year contract for parts, installation, and service of direct current batteries and power plants (IFB-26-0107), commencing on or about February 1, 2026. The contract includes mandatory provisions requiring contractors to demonstrate DBE and small business participation through good faith outreach efforts, including sending solicitation letters to identified firms and tracking participation monthly in the City's Certification and Compliance System. An annual Small Business Participation Plan must be submitted detailing contractor engagement with DBE and small business vendors. No exemptions from DBE requirements may be granted without prior written approval from the City's Compliance Section, ensuring accountability and compliance with federal and local participation mandates throughout the contract term.
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Text version
City of Phoenix
PUBLIC TRANSIT DEPARTMENT
REQUEST FOR SUBSTITUTION/EXEMPTION
This form must be submitted to the City of Phoenix, Public Transit Department Compliance Section (ptdcompliance@phoenix.gov), for approval prior to making any changes to the proposed statement of DBE utilization or Contractor’s monthly statement of DBE utilization form. No DBE shall be substituted or terminated, nor shall their scope of work be reduced or proposed amount changed without the approval of the Compliance Section.
Prime Contractor: Contract Number:
Project Number and Description:
Affected DBE Subcontractor(s):
Scope of Work to be Performed by Affected DBE Subcontractors(s):
1. I am the duly authorized representative of the above listed Prime Contractor and am authorized to request this exemption on behalf of the Prime Contractor.
2. I hereby request that an exemption be granted to the above-mentioned Prime Contractor to (check those that apply):
Release proposed DBE subcontractor Substitute DBE subcontractor
Change scope of work to be performed by DBE subcontractor
Reduce amount originally proposed for DBE subcontractor
3. I have summarized the Prime Contractor's request for an exemption and the good faith efforts required in finding additional DBE participation on the above-mentioned contract as follows: (Attach additional pages and supporting documentation as necessary.)
Date:
Phone:
Yes No %
Date:
Authorized Signature:
Signature of Authorized Agent for Contractor
Name and Title:
FOR CONTRACT COMPLIANCE USE ONLY
Request Approved: Revised DBE Goal:
Revised DBE Utilization:
Contract Compliance Specialist:
| Exhibit - Initial SBPP Plan |
| Exhibit - DBE Annual SBPP Plan |
| Exhibit - DBE Request for Substitution or Exemption |
| Exhibit - DBE Certification of Final Payment |
| Phone: |
| Prime Contractor: |
| Contract Number: |
| Project Number and Description: |
| Affected DBE Subcontractors: |
| Scope of Work to be Performed by Affected DBE Subcontractorss: |
| to check those that apply: |
| Substitute DBE subcontractor: |
| undefined: |
| proposed for DBE: |
| follows Attach additional pages and supporting documentation as necessary: |
| Name and Title: |
| FOR CONTRACT COMPLIANCE USE ONLY: |
| No: |
| Date_2: |
| Text39: |
| Text40: |
| Text41: |
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