Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf
PDF 114 KB Posted
- Attached to
- Bus Stop and Transit Center Cleaning Services
- Solicitation number
- PTD26-006
- 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 administered by the City of Phoenix Public Transit Department for contract 02_26-IFR - PTD. The form is used to request approval from the Contract Compliance Section prior to making changes to the proposed Statement of Small Business (SB) Utilization or the Contractor's Monthly Statement of Small Business Utilization Form. The form permits prime contractors to request exemptions for four categories of changes: releasing a proposed SB subcontractor, substituting an SB subcontractor, changing the scope of work performed by an SB subcontractor, or reducing the amount originally proposed for an SB subcontractor. The solicitation pertains to Bus Stop and Transit Center Cleaning Services for the City of Phoenix, Arizona, with a five-year term commencing January 1, 2027, and no options to extend.
No substitution, termination, or scope reduction of any small business subcontractor is permitted without prior written approval from the Contract Compliance Section. Prime contractors must document good faith efforts in finding additional small business participation and provide supporting documentation with their request. The form requires completion and signature by an authorized representative of the prime contractor and must be submitted for approval before any modifications to small business commitments are implemented. Upon approval, the Contract Compliance Specialist will indicate the revised small business commitment amount and date of approval.
View the file
Other files
Show all 11
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
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 .