Date

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

Subject: DBE Replacement Request Denial

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

Dear Mr./Ms. Last Name:

The <District Name> district has reviewed the request submitted <Date> to add Disadvantaged Business Enterprise (DBE) firm <Proposed DBE Firm> to the original DBE commitment on the above referenced project.

After a review of the documentation submitted to add <Proposed DBE Firm Name> as a substitute, it has been determined that this request is denied for the following reasons:

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: <Proposed Terminated DBE Firm>