Name of the Company:
Name of the Company: Address: City, State, Zip code: Phone Number & Email: After careful consideration, I, the undersigned DBE owner or authorized designee, have elected not to apply or continue the firm's participation as a DBE at this time. This notice serves to inform the Virgin Islands Department of Public Works Unified Certification Program, of this decision. I understand that the firm is subject to decertification proceedings pursuant to Title 49, Code of Federal Regulations, Section 26.87, unless the reason for this decision is because the disadvantaged individual's Personal Net worth (PNW) exceeds the threshold of $1.32 million. …
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Original source: https://dpw.vi.gov/wp-content/uploads/2024/01/Voluntary-Removal-from-VIDPW-DBE-Program.pdf
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Name of the Company: Address: City, State, Zip code: Phone Number & Email: After careful consideration, I, the undersigned DBE owner or authorized designee, have elected not to apply or continue the firm's participation as a DBE at this time. This notice serves to inform the Virgin Islands Department of Public Works Unified Certification Program, of this decision. I understand that the firm is subject to decertification proceedings pursuant to Title 49, Code of Federal Regulations, Section 26.87, unless the reason for this decision is because the disadvantaged individual's Personal Net worth (PNW) exceeds the threshold of $1.32 million. Please mark which explanation best describes the reason(s) for voluntarily removing the firm from the DBE program: Personal Net Worth Exceeds 1.32 million Change in Ownership Sale of Business No benefit in being certified as a VIDPW DBE Not interested in continuing participation in Other: ________________________ VIDPW DBE program The reasons stated: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ Authorization: _____________________________________________________________________________ (Print Name & Title) ___________________________________________________ _____________________ Signature Date NOTICE OF VOLUNTARY REMOVAL FROM THE VIDPW DISADVANTAGED BUSINESS ENTERPRISE (DBE) PROGRAM SIGN