00 63 25 - Substitution Request Form (During Construction).pdf
PDF 403 KB Posted
- Attached to
- WCTA Meter Replacement Project
- Solicitation number
- US.257570
- Issued by
- Lancaster County, Pennsylvania
About this file
This is a Substitution Request Form (During Construction) developed by Herbert, Rowland & Grubic, Inc. for the WCTA Meter Replacement Project (HRG Project No. 011364.0448) in West Cocalico Township, Pennsylvania. The form is designed to be completed after the bidding phase and allows contractors to request approval to substitute materials or products from those originally specified in the contract documents. The form requires submission of detailed comparative data between the specified product and the proposed substitution, including product information, manufacturer details, installation history, and supporting documentation such as drawings, product data, samples, tests, and reports. The contractor must certify that the proposed substitution is equal or superior to the specified product, maintains equivalent warranties and maintenance services, does not affect other trades or project schedules, and will not create additional costs or design impacts.
The substitution request form includes multiple certification requirements that place responsibility on the submitting contractor to demonstrate equivalency and compatibility with existing work. The form provides four possible approval outcomes: approval to proceed with submittals in accordance with Specification Section 01 33 00, conditional approval with noted requirements, rejection requiring use of specified materials, or late submission rejection. The form requires documentation of any cost savings to the owner and identification of whether the substitution affects contract time, dimensions, or functional clearances. Signatories are identified by role (Contractor, Subcontractor, Supplier, Manufacturer, or Engineer) with space for date and additional comments from the approving authority.
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Text version
Herbert, Rowland & Grubic, Inc. 00 63 25-1 011364.0448
SUBSTITUTION REQUEST
(After Bidding Phase)
Project: Sub. Req. No.:
Contractor: Contract:
To: Date:
From: HRG Project No.:
Re:
Specification Section
Paragraph Drawing Detail
Description:
Proposed Substitution:
Manufacturer: Address: Phone:
Trade Name: Model No.:
Installer: Address: Phone:
History: New Product 2-5 years old 5-10 years old More than 10 years old
Difference between specified product and proposed product:
Point-by-point comparative data attached [REQUIRED]
Reason for not providing specified item:
Similar Installation(s):
Project: Engineer:
Address: Owner:
Date
Installed:
Proposed substitution affects other parts of Work: No Yes, Explain:
Savings to Owner for accepting substitution: ($
Proposed substitution changes Contract Time: No Yes [Add] [Deduct]: days
Supporting Data Attached: Drawings Product Data Samples Tests Reports
Herbert, Rowland & Grubic, Inc. 00 63 25-2 011364.0448
SUBSTITUTION REQUEST
(Continued)
The Undersigned certifies:
− Proposed substitution has been fully investigated and determined to be equal or superior in all respects to specified product.
− Same warranty will be furnished for proposed substitution as for specified product.
− Same maintenance service and source of replacement parts, as applicable, is available.
− Proposed substitution will have no adverse effect on other trades and will not affect or delay progress schedule.
− Cost data as stated above is complete. Claims for additional costs related to accepted substitution which may subsequently become apparent are to be waived.
− Proposed substitution does not affect dimensions and functional clearances.
− Payment will be made for changes to building design, including A/E design, detailing, and construction costs caused by the substitution.
− Coordination, installation, and changes in the Work as necessary for accepted substitution will be complete in all respects.
Submitted by:
Signed by:
Firm:
Address:
Telephone: e-mail:
Attachments:
Substitution approved - Make submittals in accordance with Specification Section 01 33 00.
Substitution approved as noted - Make submittals in accordance with Specification Section 01 33 00.
Substitution rejected - Use specified materials.
Substitution Request received too late - Use specified materials.
Signed by: Date:
Additional Comments: Contractor Subcontractor Supplier Manufacturer Engineer
File details come from the government source that posted it. Updated .