Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf

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Attached to
Operations Control Center & Data Collection Services State and local contract opportunity
Solicitation number
PTD26-003
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is a Request for Substitution or Exemption form for the Disadvantaged Business Enterprise - Neutral (DBE-N) Program issued by the City of Phoenix Public Transit Department in connection with the Operations Control Center & Data Collection Services contract (02_26-IFR). The form serves as an official request mechanism for prime contractors to seek approval from the City's Contract Compliance Section prior to making modifications to small business (SB) utilization commitments. The document outlines four permissible exemption categories: releasing a proposed SB subcontractor, substituting an SB subcontractor, changing the scope of work for an SB subcontractor, or reducing the dollar amount originally proposed for an SB subcontractor. The Operations Control Center & Data Collection Services contract itself is a five-year agreement with a commencement date of approximately July 1, 2027, and includes one two-year renewal option exercisable at the City's sole discretion. The agreement becomes effective upon final signature and recording by the City Clerk's department.

The form requires prime contractors to demonstrate good faith efforts in securing additional small business participation when requesting exemptions, with all supporting documentation to be submitted for Contract Compliance Section approval prior to any changes being implemented. No substitution, termination, scope reduction, or proposed amount change for any small business subcontractor is permitted without prior written approval. The form indicates that upon approval, the revised small business utilization commitment amount will be documented by the Contract Compliance Specialist. The solicitation is administered through the City of Phoenix Procurement Portal, with technical support available for portal-related issues and procurement officer contact information provided for solicitation-specific inquiries.

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Text version

Disadvantaged Business Enterprise - Neutral (DBE-N) Program AGENCY: Public Transit Department

02_26-IFR - PTD

REQUEST FOR SUBSTITUTION/EXEMPTION

THIS FORM MUST BE SUBMITTED TO THE CITY OF PHOENIX, PUBLIC TRANSIT DEPARTMENT COMPLIANCE SECTION, FOR APPROVAL PRIOR TO MAKING ANY CHANGES TO THE PROPOSED STATEMENT OF SMALL BUSINESS (SB) UTILIZATION OR CONTRACTOR’S MONTHLY STATEMENT OF SMALL BUSINESS UTILIZATION FORM. NO SMALL BUSINESS SHALL BE SUBSTITUTED OR TERMINATED, NOR SHALL THEIR SCOPE OF WORK

BE REDUCED OR PROPOSED AMOUNT CHANGED WITHOUT THE APPROVAL OF THE CONTRACT

COMPLIANCE SECTION.

Prime Contractor: Contract Number:

Project Number and Description:

Affected Small Business Subcontractor(s):

Scope of Work to be Performed by Affected Small Business 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 (circle those that apply);

A. Release a proposed SB subcontractor C. Substitute a SB subcontractor B. Change the scope of work to be performed by an SB subcontractor D. Reduce the amount originally proposed for a

SB subcontractor

3. I have summarized the Prime Contractor's request for an exemption and the good faith efforts required in finding additional Small Business participation on the above-mentioned contract as follows: (Attach additional pages and supporting documentation as necessary.)

Authorized Signature: ________________________________________________ Date: ___________________ Prime Contractor's Representative

Name and Title: _____________________________________________________ Phone: __________________

FOR CONTRACT COMPLIANCE USE ONLY

Request Approved: YES NO Revised Small Business Commitment: $

REVISED SMALL BUSINESS UTILIZATION

Contract Compliance Specialist: Date:

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