Date

Name of Prime Contractor Firm Prime Contractor Business Name DBE Address City, State Zip Code

Subject: DBE Replacement Approval

Project/CSJ/County: <Project/CSJ/County>

Dear Mr./Ms. Last Name:

The <District Name> district has reviewed the request submitted <Date> to substitute <New DBE Firm> as a replacement for <Enter DBE being replaced> to the original Disadvantaged Business Enterprise (DBE) commitment on the above referenced project.

This request for replacement has been approved. <New DBE Name> will be added to the DBE commitment as a replacement for <Terminated DBE> and will perform <$X.XX> of the overall DBE goal.

Should you have any questions or require further information concerning this matter, please contact <Contact Name> at <(XXX) Number>.

Sincerely,

District Representative Name

District, Title

CC: