STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES
PROCUREMENT DIVISION
DISABLED VETERAN BUSINESS ENTERPRISE
SUBSTITUTION REQUEST
DGS PD 07-06 (New 4/2015)
1. Awarding Department
PD-OSDS USE ONLY
2. SB/DVBE Advocate Name
5. Contracting Official Name
3. SB/DVBE Advocate E-mail
6. Contracting Official E-mail
4. SB/DVBE Advocate Phone Number
7. Contracting Official Phone Number
8. Classification of Contract
9. Description of Contract
10. Contract Number
11. Contract Amount
12. Amount of DVBE Subcontractor Commitment
13. Release Date of Solicitation
14. Contract Term
15. Date Contractor Requested DVBE
Subcontractor Substitution
16. Justification for Substitution
17. Date Contractor Sent Written
Notice to DVBE Subcontractor(s)
18. Date(s) Written Objections
Were Received from DVBE(s),
if any
19. Date Department Sent Notice
of Substitution Hearing Substitution
Hearing
(Required if objections received)
20. Date of Substitution Hearing, if
applicable
21. SB/DVBE Advocate Signature
Date Signed
22. Check all that are attached:
Contractors Written Request for Substitution
and Proof of Delivery
DVBE Subcontractor Agreement, Bidder
Declaration, etc.
DVBE Subcontractor Substitute Information
DVBE Subcontractor Consent to Substitution
DVBE Subcontractor Opposition to Substitution
Documentation to Support Absence of DVBE
and SB Subcontractor Information
Contact with SB/DVBE Advocate and
Department of Veteran Affairs for Subcontractors
Written Notice to DVBE's of Hearing
Hearing Decision/Order
Other
PD-OSDS USE ONLY
APPROVED
DENIED
Comments
DGS/OSDS Manager Approval
Date Approved
click to sign
signature
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STATE OF CALIFORNIA DEPARTMENT OF GENERAL SERVICES
PROCUREMENT DIVISION
DISABLED VETERAN BUSINESS ENTERPRISE
SUBSTITUTION REQUEST
DGS PD 07-06 (New 4/2015)
INSTRUCTIONS
1. Awarding Department: Name of the awarding department submitting the request to approve DVBE
subcontractor substitution by another DVBE(s) or Small Business.
2. SB/DVBE Advocate Name: Enter the name of the Small Business/Disabled Veteran Business Enterprise
(SB/DVBE) Advocate.
3. SB/DVBE Advocate E-mail: Enter the email address for the SB/DVBE Advocate.
4. SB/DVBE Advocate Phone Number: Enter the phone number for the SB/DVBE Advocate.
5. Contracting Official Name: Enter the name of the contracting official.
6. Contracting Official E-mail: Enter the email address for the contracting official.
7. Contracting Official Phone Number: Enter the phone number for the contracting official.
8. Classification of Contract: Enter IT-Good or Service, Non-IT Good, Non-IT Service, Public Works or
Architectural & Engineering.
9. Description of Contract: Describe goods or services sufficiently for Department of General Services
(DGS) to describe what was needed on contract.
10. Contract Number: Reference the contract number assigned to the awarded contract.
11. Contract Amount: Enter the dollar amount on which the commitment of DVBE subcontractor
participation is based.
12. Amount of DVBE Subcontractor Commitment: Enter the dollar amount that the contractor listed as a
commitment for DVBE subcontractor participation. Submit the documents that support the commitment
amount (form submitted with the bid or offer, correspondence, DVBE subcontractor agreement, etc.).
13. Release Date of Solicitation: Enter the date the solicitation was released to the public.
14. Contract Term: Enter the start and end date of the contract.
15. Date Contractor Requested DVBE Subcontractor Substitution: Identify the date contractor submitted
DVBE substitution request to Department.
16. Justification for Substitution: Enter the authority that applies for the DVBE substitution request pursuant
to 2 California Code of Regulations (CCR) Section 1896.73 or Public Contract Code Section 4107 (a)(1-9).
17. Date Contractor Sent Written Notice to DVBE Subcontractor(s): Identify the date contractor sent
written notification to the DVBE Subcontractor(s).
18. Date Written Objections Were Received from DVBE(s), if any: Submit written objections and request
for hearing submitted by DVBE(s), if any.
19. Date Department Sent Notice of Substitution Hearing (Required if objections received): Submit copy
of written notice to DVBE(s) of hearing, if applicable.
20. Date of Substitution Hearing, if applicable: Enter the date of the DVBE Substitution Hearing held by
the Department.
Notes:
Email completed form and supporting documents to OSDSHelp@dgs.ca.gov referencing
"DVBE Substitution Request" in the Subject line.
DGS approval is not required for your Department to deny DVBE substitution requests.
DGS/OSDS will email the processed DVBE Substitution Request to Department SB/DVBE
Advocate & Contracting Official within 3 days from receipt.
Contractor and DVBE subcontractor(s) will be notified by Department SB/DVBE Advocate or
Contracting Official.
For assistance and additional information on DVBE Substitution see CCR, Title 2, Division 2,
Section 1896.73.