Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf
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- Attached to
- Transit Vehicle Decommissioning Services
- Solicitation number
- IFB PTD26-009
- 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 the Transit Vehicle Decommissioning Services contract (02_26-IFR - PTD). The form is used to request approval for changes to small business (SB) utilization commitments before implementation. The contract for transit vehicle decommissioning services has a commencement date of on or about February 1, 2027, and extends for an initial term of 5 years with one optional 2-year extension. The agreement becomes effective upon final signature and recording by the City Clerk's department, and will terminate upon the earliest occurrence of reaching the end of the term, including any exercised extensions, or termination pursuant to contract provisions.
The form permits prime contractors to request exemptions or substitutions regarding small business subcontractors through four primary actions: releasing a proposed SB subcontractor, substituting an existing SB subcontractor, changing the scope of work assigned to an SB subcontractor, or reducing the dollar amount originally proposed for an SB subcontractor. All requests must be submitted to the City of Phoenix Public Transit Department Compliance Section for approval prior to implementing any modifications. The form requires the prime contractor's authorized representative to provide detailed justification and documentation of good faith efforts undertaken to secure alternative small business participation. The Contract Compliance Specialist reviews all requests and identifies any revised small business commitment amounts following approval or denial of the exemption request.
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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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