Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf
PDF 114 KB Posted
- Attached to
- Environmental Lab Services State and local contract opportunity
- Solicitation number
- RFP GGS-26-0363
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Request for Substitution or Exemption form issued by the City of Phoenix Public Transit Department (PTD) for the Disadvantaged Business Enterprise - Neutral (DBE-N) Program related to contract 02_26-IFR. The form serves as the required submission mechanism for prime contractors seeking approval to modify their proposed Statement of Small Business (SB) Utilization prior to implementation. The document outlines procedures for substituting or terminating small business subcontractors, reducing their scope of work, or changing their proposed contract amounts. Prime contractors must complete the form detailing the affected small business subcontractor(s), their scope of work, and the nature of the requested exemption, supported by documentation of good faith efforts to identify additional small business participation. The underlying environmental lab services contract opportunity is for a seven-year term commencing October 1, 2026, or upon final signature and recording by the City Clerk's department, whichever is later, with no extension options.
The form requires authorization from the prime contractor's representative and submission to the City of Phoenix Public Transit Department Compliance Section for approval before any modifications to small business commitments can be implemented. Contract compliance specialists are designated to review requests and document either approval or denial, along with any revised small business utilization commitments. The environmental lab services solicitation is available through the City's Procurement Portal, with technical support available through the portal's support function or via email at procurement-support@opengov.com. The agreement will terminate upon completion of the seven-year term or earlier if terminated pursuant to agreement provisions.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Environmental_Lab_Services.pdf | ||
| DBE-N_Annual_SBPP.pdf | ||
| Supplemental-Terms-And-Conditions-To-All-Airport-Contracts_Rev_4-29-26.pdf | ||
| Aviation_Only_-_Sensitive_Security_Information_Acknowledgement_Form.docx | DOCX document | |
| Acceptance_of_Offer_Form_2026.pdf | ||
| Addendum_Form.docx | DOCX document | |
| Certification_of_Final_Payment_PTD_02_2026_(DBE-N).pdf | ||
| SAP_OCI_5_1.pdf |
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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 .