NOTICE OF VOLUNTARY REMOVAL
NOTICE OF VOLUNTARY REMOVAL FROM THE VIDPW DISADVANTAGED BUSINESS ENTERPRISE (DBE) PROGRAM Name of the Company: Address: City, State, Zip code: After careful consideration, I, the undersigned DBE / ACDBE owner or authorized designee, have elected not to apply or continue the firm's participation as a DBE / ACDBE 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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NOTICE OF VOLUNTARY REMOVAL FROM THE VIDPW DISADVANTAGED BUSINESS ENTERPRISE (DBE) PROGRAM Name of the Company: Address: City, State, Zip code: After careful consideration, I, the undersigned DBE / ACDBE owner or authorized designee, have elected not to apply or continue the firm's participation as a DBE / ACDBE 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 / ACDBE program: Personal Net Worth Exceeds 1.32 million Change in Ownership Sale of Business No benefit in being certified as a VIDPW DBE / ACDBE Not interested in continuing participation in Other: ________________________ VIDPW DBE / ACDBE program Authorization: _________________________________________________________________________________ (Print Name & Title) ___________________________________________________ _____________________ Signature Date Notary: _______________________________________ SEAL: Signature & Date SIGN SIGN