Form CEM-2401 "Substitution Report for Disadvantaged Business Enterprise (Dbe) or Underutilized Disadvantaged Business Enterprise (Udbe)" - California

What Is Form CEM-2401?

This is a legal form that was released by the California Department of Transportation - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2018;
  • The latest edition provided by the California Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CEM-2401 by clicking the link below or browse more documents and templates provided by the California Department of Transportation.

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Download Form CEM-2401 "Substitution Report for Disadvantaged Business Enterprise (Dbe) or Underutilized Disadvantaged Business Enterprise (Udbe)" - California

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STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
SUBSTITUTION REPORT FOR DISADVANTAGED BUSINESS ENTERPRISE (DBE) OR
UNDERUTILIZED DISADVANTAGED BUSINESS ENTERPRISE (UDBE)
(See Instructions on next page)
CEM-2401 (REV 02/2018)
APPROVAL
CONTRACT NUMBER
RESIDENT ENGINEER (Signature)
DATE
REQUEST DATE
GOOD FAITH EFFORT
PRIME CONTRACTOR
DEPUTY DISTRICT DIRECTOR - CONSTRUCTION (Signature)
DATE
LISTED OR PREVIOUSLY APPROVED FIRM
DBE
UDBE
PROPOSED FIRM
DBE
UDBE
NON DBE/UDBE
ITEM
COMPLETED
REMAINING
ITEM
WORK DESCRIPTION
WORK DESCRIPTION
DOLLAR AMOUNT
NUMBER
DOLLAR AMOUNT
DOLLAR AMOUNT
NUMBER
TOTAL $
TOTAL $
REASONS FOR SUBSTITUTION
(Check appropriate box)
1. The listed DBE subcontractor fails or refuses to execute a written contract.
6. You have determined that the listed DBE subcontractor is not a responsible contractor.
2. The listed DBE subcontractor fails or refuses to perform the work of its subcontract in a
7. The listed DBE subcontractor voluntarily withdraws from the project and provides to you
way consistent with normal industry standards. Provided, however, that good cause
written notice of its withdrawal.
does not exist if the failure or refusal of the DBE subcontractor to perform its work on the
8. The listed DBE is ineligible to receive DBE credit for the type of work required.
subcontract results from the bad faith or discriminatory action of the prime contractor.
9. A DBE owner dies or becomes disabled with the result that the listed DBE contractor is
3. The listed DBE subcontractor fails or refuses to meet the prime contractor's reasonable,
unable to complete its work on the contract.
nondiscriminatory bond requirements.
10. Other documented good cause that you determine compels the termination of the DBE
4. The listed DBE subcontractor becomes bankrupt, insolvent, or exhibits credit unworthiness.
subcontractor. Provided, that good cause does not exist if the prime contractor seeks to
5. The listed DBE subcontractor is ineligible to work on public works projects because of
terminate a DBE it relied upon to obtain the contract so that the prime contractor can
suspension and debarment proceeding pursuant 2 CFR Parts 180, 215 and 1,200 or
self-perform the work for which the DBE contractor was engaged or so that the prime
applicable state law.
contractor can substitute another DBE or non-DBE contractor after contract award.
REMARKS:
DISTRIBUTION: ORIGINAL - Contractor
COPY - Resident Engineer
COPY - District Construction/Labor Compliance Officer
COPY - OBEO - email
smallbusinessadvocate@dot.ca.gov
or FAX to (916) 324-1949
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
SUBSTITUTION REPORT FOR DISADVANTAGED BUSINESS ENTERPRISE (DBE) OR
UNDERUTILIZED DISADVANTAGED BUSINESS ENTERPRISE (UDBE)
(See Instructions on next page)
CEM-2401 (REV 02/2018)
APPROVAL
CONTRACT NUMBER
RESIDENT ENGINEER (Signature)
DATE
REQUEST DATE
GOOD FAITH EFFORT
PRIME CONTRACTOR
DEPUTY DISTRICT DIRECTOR - CONSTRUCTION (Signature)
DATE
LISTED OR PREVIOUSLY APPROVED FIRM
DBE
UDBE
PROPOSED FIRM
DBE
UDBE
NON DBE/UDBE
ITEM
COMPLETED
REMAINING
ITEM
WORK DESCRIPTION
WORK DESCRIPTION
DOLLAR AMOUNT
NUMBER
DOLLAR AMOUNT
DOLLAR AMOUNT
NUMBER
TOTAL $
TOTAL $
REASONS FOR SUBSTITUTION
(Check appropriate box)
1. The listed DBE subcontractor fails or refuses to execute a written contract.
6. You have determined that the listed DBE subcontractor is not a responsible contractor.
2. The listed DBE subcontractor fails or refuses to perform the work of its subcontract in a
7. The listed DBE subcontractor voluntarily withdraws from the project and provides to you
way consistent with normal industry standards. Provided, however, that good cause
written notice of its withdrawal.
does not exist if the failure or refusal of the DBE subcontractor to perform its work on the
8. The listed DBE is ineligible to receive DBE credit for the type of work required.
subcontract results from the bad faith or discriminatory action of the prime contractor.
9. A DBE owner dies or becomes disabled with the result that the listed DBE contractor is
3. The listed DBE subcontractor fails or refuses to meet the prime contractor's reasonable,
unable to complete its work on the contract.
nondiscriminatory bond requirements.
10. Other documented good cause that you determine compels the termination of the DBE
4. The listed DBE subcontractor becomes bankrupt, insolvent, or exhibits credit unworthiness.
subcontractor. Provided, that good cause does not exist if the prime contractor seeks to
5. The listed DBE subcontractor is ineligible to work on public works projects because of
terminate a DBE it relied upon to obtain the contract so that the prime contractor can
suspension and debarment proceeding pursuant 2 CFR Parts 180, 215 and 1,200 or
self-perform the work for which the DBE contractor was engaged or so that the prime
applicable state law.
contractor can substitute another DBE or non-DBE contractor after contract award.
REMARKS:
DISTRIBUTION: ORIGINAL - Contractor
COPY - Resident Engineer
COPY - District Construction/Labor Compliance Officer
COPY - OBEO - email
smallbusinessadvocate@dot.ca.gov
or FAX to (916) 324-1949
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
STATE OF CALIFORNIA • DEPARTMENT OF TRANSPORTATION
SUBSTITUTION REPORT FOR DISADVANTAGED BUSINESS ENTERPRISE (DBE) OR
UNDERUTILIZED DISADVANTAGED BUSINESS ENTERPRISE (UDBE)
CEM-2401 (REV 02/2018)
For contracts advertised on or before June 15, 2012, a contractor may only substitute one UDBE for another UDBE or perform a good
faith effort to do so. For contracts advertised after June 15, 2012, a contractor may substitute one DBE for another DBE or perform a
good faith effort to do so.
The resident engineer must complete the substitution report upon receipt of a written request for substitution of a listed Disadvantaged
Business Enterprise (DBE) or Underutilized Disadvantaged Business Enterprise (UDBE).
The resident engineer can solely approve the substitution request if:
1) One DBE/UDBE is to be substituted for another DBE/UDBE if the same items of work are involved or, if different items, the dollar value is
equal to or greater than the original proposal;
2) The new DBE/UDBE is certified at the time of substitution; and
3) The reason for substitution is based on one or more of the eleven listed reasons.
If the request involves a good faith effort to substitute a listed DBE/UDBE with a firm that is not certified as a DBE/UDBE, the resident engineer
must forward the request to the deputy district director for construction for additional approval.
Provide the names of the firms involved. Check the box for DBE, UDBE, or non-DBE/UDBE, as applicable.
Provide the original item number, work description, completed dollar amount, remaining dollar amount and the proposed item number, work
description and dollar amount. If a portion of the work has already been completed by the listed or previously approved firm, provide an
explanation in the remarks section.
Upon approval of the substitution, provide the original to the contractor and a copy to the Office of Business and Economic Opportunity as
provided on the form.
For individuals with sensory disabilities, this document is available in alternate formats. For alternate format information, contact the Forms
ADA Notice
Management Unit at (916) 445-1233, TTY 711, or write to Records and Forms Management, 1120 N Street, MS-89, Sacramento, CA 95814.
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