Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf
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- Solicitation number
- IFB-26-0352
- 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, applicable to contract 02_26-IFR. The form establishes the procedural requirements and approval process for any modifications to small business subcontractor commitments on public transit contracts. Prime contractors must submit requests to the City of Phoenix Public Transit Department Compliance Section prior to making changes to proposed or monthly statements of small business utilization. The form permits four types of exemptions: releasing a proposed small business subcontractor, substituting a small business subcontractor, changing the scope of work for a small business subcontractor, or reducing the originally proposed amount for a small business subcontractor. Prime contractors must demonstrate good faith efforts in identifying alternative small business participation when requesting exemptions, with supporting documentation required for each request.
The related contract opportunity is for Electrical Shop Rubber Glove Personal Protective Equipment Testing with the City of Phoenix and carries no value. The agreement term is five years commencing October 1, 2026, or upon the ordinance-approved start date or effective date, whichever is later, with no renewal or extension options. The contract will be awarded through the City's Procurement Portal, and offerors may contact procurement-support@opengov.com for technical support. The agreement terminates upon the earliest occurrence of reaching the end of the five-year term or upon termination pursuant to the agreement's provisions.
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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 .