Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf
PDF 114 KB Posted
- Attached to
- Anchor Points Inspections, Testing, and Repair
- Solicitation number
- IFB-27-0458
- 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. The form applies to the Anchor Points Inspections, Testing, and Repair contract and establishes the procedures by which prime contractors may request approval to release, substitute, or modify the scope of work or funding amounts for proposed small business (SB) subcontractors. All requests for exemptions or substitutions must be submitted to the City of Phoenix Public Transit Department Compliance Section prior to implementing any changes to the proposed Statement of Small Business Utilization or the Contractor's Monthly Statement of Small Business Utilization Form. No small business subcontractor may be substituted, terminated, have their scope of work reduced, or have their proposed amount changed without explicit approval from the Contract Compliance Section.
The form requires prime contractors to document good faith efforts in securing small business participation and to provide supporting documentation justifying any requested exemptions or substitutions. Upon submission, the Contract Compliance Section will review the request and either approve or deny the exemption, noting any revised small business commitment amounts. The revised small business utilization commitment will be recorded by the Contract Compliance Specialist with the approval date. This form serves as a critical control mechanism to ensure compliance with small business participation goals and to maintain transparency in subcontractor changes throughout the contract term.
View the file
Other files
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 .