Date

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

Subject: DBE Termination Approval

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

Dear Mr./Ms. Last Name:

The <District Name> district has reviewed the request submitted <Date> to terminate <Terminated DBE Firm> as a Disadvantaged Business Enterprise (DBE) to the original DBE commitment on the above referenced project.

After a review of the documentation and the response from the DBE, it has been determined that your request to terminate has been approved.

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: <Terminated DBE>