Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf
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- Solicitation number
- IFB 27-SW-0447
- 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 for the Disadvantaged Business Enterprise - Neutral (DBE-N) Program. The form serves as the required submission document to the City of Phoenix Public Transit Department Compliance Section for approval before any modifications can be made to the proposed Statement of Small Business (SB) Utilization or the Contractor's Monthly Statement of Small Business Utilization Form. The document applies to contract number 02_26-IFR - PTD and permits prime contractors to request exemptions for releasing proposed small business subcontractors, substituting small business subcontractors, changing the scope of work performed by small business subcontractors, or reducing the originally proposed amount for small business subcontractors. The related solicitation concerns the supply of industrial pipe, miscellaneous fittings, and equipment for a three-year initial term with two optional one-year extensions, with a commencement date of approximately December 1, 2026, or upon City Council award and recording by the City Clerk's department, whichever occurs later.
The substitution or exemption request form requires prime contractors to provide detailed justification including good faith efforts documentation supporting their request and must be authorized by a duly authorized representative of the prime contractor. No small business subcontractor may be substituted, terminated, have their scope of work reduced, or have their proposed amount changed without prior written approval from the Contract Compliance Section. Upon approval or denial of the exemption request, the Contract Compliance Specialist must document the decision and indicate any revised small business utilization commitment amounts. The solicitation is administered through the City's Procurement Portal, and offerors may access technical support through the portal's support feature or by contacting procurement-support@opengov.com.
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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:
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