Attachment_-_Request_for_Substitution_-_Exemption.pdf

PDF 102 KB Posted

Attached to
Concrete Flatwork Services
Solicitation number
IFB 26-0078
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 Disadvantaged Business Enterprise (DBE) participation requirements on the Concrete Flatwork Services contract (IFB 26-0078). The form serves as the mechanism through which prime contractors may request approval to release, substitute, or modify the scope of work or proposed amounts for DBE subcontractors on City of Phoenix contracts. The five-year Concrete Flatwork Services contract, commencing June 1, 2026, encompasses concrete installation and replacement services across the Phoenix Metro area, including sidewalks, ramps, walls, curbs, steps, and light pole bases, with concrete work ranging from 2,500 to 6,000 PSI. The pre-offer conference is scheduled for October 15, 2025, at 9:00 a.m., written inquiries are due by October 29, 2025, and the bid response deadline is November 12, 2025, at 2:00 p.m.

All requests for substitution or exemption must be submitted to the City of Phoenix Public Transit Department Compliance Section (ptdcompliance@phoenix.gov) prior to implementation, and no DBE substitution, termination, or scope modification is permitted without written approval from the Compliance Section. The solicitation emphasizes mandatory DBE and Small Business participation, requiring contractors to submit both initial and annual DBE/Small Business Participation Plans and demonstrate good faith efforts in engaging certified DBE firms. Contractors must provide detailed monthly documentation of DBE participation and expenditures through the City's Certification and Compliance System, utilizing federal and city databases to identify DBE opportunities. The form requires the prime contractor's authorized representative to document the rationale for any requested exemption and evidence of good faith efforts to secure additional DBE participation, with final approval authority resting with the Contract Compliance Specialist.

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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:

File details come from the government source that posted it. Updated .