Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf
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- Attached to
- Pallet Recycling (wood only)
- Solicitation number
- IFB-26-0386
- 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 under contract 02_26-IFR - PTD. The form is used to request approval from the City's Contract Compliance Section prior to making any changes to a prime contractor's proposed Statement of Small Business (SB) Utilization or the Contractor's Monthly Statement of Small Business Utilization. The form allows prime contractors to request exemptions to release a proposed SB subcontractor, substitute an SB subcontractor, change the scope of work for an SB subcontractor, or reduce the amount originally proposed for an SB subcontractor. All requests must include documentation of good faith efforts in finding additional small business participation and require approval from the Contract Compliance Section before implementation.
The related contract opportunity is for Pallet Recycling (wood only) with the City of Phoenix, requiring sealed offers for reuse, repair, or composting options for wood pallets in all conditions. The contract term is five years commencing March 1, 2027 or upon the Effective Date, whichever is later, with no options to extend. Offerors should submit proposals through the City's Procurement Portal, with technical support available through the portal or at procurement-support@opengov.com. No specific pricing terms, set-asides, funding amounts, or response deadlines are detailed in the provided documentation.
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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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