Attachment_-_Request_for_Substitution_-_Exemption.pdf
PDF 102 KB Posted
- Attached to
- Theatrical Rigging State and local contract opportunity
- Solicitation number
- IFB-PCC-26-0109
- 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 changes on transit-related contracts. The form must be submitted to the Public Transit Department Compliance Section (ptdcompliance@phoenix.gov) prior to implementing any modifications to proposed DBE utilization or monthly DBE statements. The document applies to contracts with the City of Phoenix and requires authorization from a duly authorized representative of the prime contractor requesting the exemption. The form addresses four types of requested actions: release of a proposed DBE subcontractor, substitution of a DBE subcontractor, changes to the scope of work performed by a DBE subcontractor, or reduction of amounts originally proposed for DBE subcontractor participation.
The form requires prime contractors to document good faith efforts in finding additional DBE participation when seeking exemptions and must include supporting documentation as necessary. Upon submission, the City's Contract Compliance Section reviews the request and provides approval or denial, along with any revised DBE goals and utilization percentages. The compliance review process documents the contract number, project number and description, affected DBE subcontractors, and the scope of work involved. No DBE subcontractor may be substituted, terminated, have their scope of work reduced, or have their proposed amount changed without explicit written approval from the Compliance Section, ensuring adherence to federal DBE program requirements and local procurement regulations.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Theatrical_Rigging_(Addendum_#2_Revision).pdf | ||
| B-_Manual_Rigging_Systems_.docx | DOCX document | |
| A_-Equipment_General_Requirements.docx | DOCX document | |
| Addendum_Form.docx | DOCX document | |
| Attachment_-_PTD_Disadvantaged_Business_Enterprise_-_Small_Business_Participation_Plan_Annual.pdf | ||
| Attachment_-_PTD_Disadvantaged_Business_Enterprise_-_Small_Business_Participation_Plan_Initial_Plan.pdf | ||
| SAP_Open_Catalog_Interface_5_1.pdf | ||
| Attachment_-_Certification_of_Full_-_Final_Payments_to_DBE_Firms.pdf | ||
| Sensitive_Security_Information_Acknowledgement_Form.docx | DOCX document | |
| Supplemental_Terms_And_Conditions_To_All_Airport_Agreements_(Rev._5-22-24-Formatting_Rev._7-11-24).pdf |
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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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