Request_for_Substitution_or_Exemption_PTD_02_2026_(DBE-N).pdf
PDF 114 KB Posted
- Attached to
- Thermoplastic Pavement Marking Raw Material State and local contract opportunity
- Solicitation number
- IFB-26-0348
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Request for Substitution or Exemption form for the Disadvantaged Business Enterprise - Neutral (DBE-N) Program administered by the City of Phoenix Public Transit Department. The form is designed to be submitted to the City of Phoenix Public Transit Department Compliance Section prior to any modifications to the proposed Statement of Small Business (SB) Utilization or the Contractor's Monthly Statement of Small Business Utilization Form. The related contract opportunity involves the procurement of thermoplastic pavement marking raw material, with an effective date upon final signature and recording by the City Clerk's department. The commencement date is scheduled for February 15, 2027, or the effective date, whichever is later. The contract term is five years from the commencement date with no options to extend, and the agreement will terminate upon the earliest occurrence of reaching the end of the term or termination pursuant to the contract provisions.
The substitution or exemption form permits prime contractors to request approval for releasing a proposed SB subcontractor, substituting an SB subcontractor, changing the scope of work for an SB subcontractor, or reducing the amount originally proposed for an SB subcontractor. No small business may be substituted, terminated, or have their scope of work reduced or proposed amount changed without prior approval from the Contract Compliance Section. The prime contractor's authorized representative must provide a summary of the request and document good faith efforts made in finding additional small business participation. The Contract Compliance Specialist reviews the request and either approves or denies it, with notation of any revised small business commitment amounts. Solicitation materials are available through the City's Procurement Portal, with technical support available via email at procurement-support@opengov.com.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| Thermoplastic_Pavement_Marking_Raw_Material.pdf | ||
| Acceptance_of_Offer_Form_2026.pdf | ||
| SAP_Open_Catalog_Interface_5_1.pdf | ||
| Supplemental_-Terms-And-Conditions-To-All-Airport-Agreements-REV.-9.2.25.pdf | ||
| Addendum_Form.docx | DOCX document | |
| Certification_of_Final_Payment_PTD_02_2026_(DBE-N).pdf | ||
| Sensitive_Security_Information_Acknowledgement_Form.docx | DOCX document | |
| Small_Business_Participation_Plan_-_Annual_Submission_(DBE-N).pdf |
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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 .