Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf
PDF 114 KB Posted
- Attached to
- Custodial Services for Fire Department
- Solicitation number
- RFP GGS-26-0368
- 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 related to contract 02_26-IFR - PTD. The form serves as an administrative tool for prime contractors to request approval prior to making changes to their proposed Statement of Small Business (SB) Utilization or Contractor's Monthly Statement of Small Business Utilization. Prime contractors may use this form to request exemptions for releasing proposed SB subcontractors, substituting SB subcontractors, changing the scope of work performed by SB subcontractors, or reducing the amounts originally proposed for SB subcontractors. The form requires the prime contractor's duly authorized representative to certify that all good faith efforts have been made to identify additional Small Business participation before requesting an exemption. No substitutions, terminations, scope reductions, or amount changes to Small Business participation are permitted without prior written approval from the Contract Compliance Section.
The form emphasizes that submission and approval by the City of Phoenix Contract Compliance Section is mandatory before any modifications to Small Business commitments can be implemented. Prime contractors must provide detailed justification and supporting documentation outlining the good faith efforts undertaken to secure Small Business participation. Upon review, the Contract Compliance Specialist will either approve or deny the request and document the revised Small Business utilization commitment amount. This procedural requirement ensures accountability and maintains the integrity of the Small Business utilization goals established for the contract.
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 .