Attachment_-_Request_for_Substitution_-_Exemption.pdf
PDF 102 KB Posted
- Attached to
- Odor Control Services
- Solicitation number
- IFB-26-0067
- 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 managing Disadvantaged Business Enterprise (DBE) subcontractor participation on City contracts. The form must be submitted to the City's Compliance Section at ptdcompliance@phoenix.gov prior to implementing any changes to proposed DBE utilization. Prime contractors may request exemptions to release proposed DBE subcontractors, substitute DBE subcontractors, modify the scope of work performed by DBE subcontractors, or reduce the originally proposed amounts for DBE subcontractors. Requestors must provide detailed documentation of good faith efforts undertaken to secure additional DBE participation. The form requires authorization from a duly authorized representative of the Prime Contractor and includes designated fields for contract number, project description, affected DBE subcontractor information, and scope of work details. The City's Contract Compliance Section reviews and approves or denies requests, documenting the revised DBE goal and utilization percentages upon decision.
The form serves as a compliance mechanism within the City of Phoenix's broader DBE participation program, which operates under 49 CFR Part 26 requirements. Contractors must demonstrate proactive outreach and engagement with certified DBE suppliers identified through the Arizona UTRACS database, with ongoing monthly tracking and reporting through the City's Certification and Compliance System. This substitution/exemption process ensures that any changes to DBE participation are properly documented, justified, and approved by the City, maintaining accountability and transparency in the procurement process while allowing flexibility for contractors when good faith efforts to secure DBE participation prove insufficient.
View the file
Other files
Show all 23
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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: |
File details come from the government source that posted it. Updated .