1-00 43 10 Substitution Reqeust Form - Fillable.pdf
PDF 139 KB Posted
- Solicitation number
- 24-073-R2
- Issued by
- Winnebago County, Edmund CDP, Wisconsin
About this file
This document is a Substitution Request Form issued by Walworth County for an unspecified project. The form is designed for contractors or bidders to propose alternative products or materials to those originally specified in the project documents. The form requires detailed information about the proposed substitution, including the reason for the request, which could be due to product unavailability, potential cost savings, or other factors. The form also requires the proposing party to address potential impacts of the substitution, such as effects on project dimensions, work of other sections, and potential design modifications.
The form provides a structured method for contractors to seek approval for product substitutions, with sections for explaining the rationale, detailing potential effects, and accepting responsibility for any additional costs or coordination required. The document includes checkboxes for various scenarios, such as pre-bid substitution, product unavailability, and cost savings. The form also includes space for architectural review, with options to accept, reject, or require further action on the proposed substitution. The document is designed to ensure careful consideration and documentation of any proposed product changes during the project implementation process.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 4-24-073-R2 - Project Manual - final.pdf | ||
| 3-24-073-R2 Construction Drawings.pdf | ||
| 2-00 43 36 List of Subcontractors.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Walworth County
SECTION 00 43 10
SUBSTITUTION REQUEST FORM
A/E Project No.:
Date Received:
Specification Section Number and Paragraph:
Drawings and details affected:
Proposed Substitution:
Manufacturer:
Product (model, pattern, etc.):
WHY IS SUBSTITUTION BEING SUBMITTED? (Select one of the following):
Pre-Bid Substitution (Prior Approval) Bid Date:
Specified product is not available. Explain Cost savings to Owner. Attach comparative cost analysis and proposed deduct.
Other. Explain.
EFFECTS OF PROPOSED SUBSTITUTION Answer the following questions and attach explanations.
Does substitution affect dimensions indicated on Drawings?
(NO) (YES, explain)
Does substitution affect Work of other Sections?
(NO) (YES, explain)
Does substitution require modifications to design, changes to Drawings, or revisions to Specifications to be incorporated into the Project?
(NO) (YES, explain)
CONTRACTOR’S/BIDDER’S REPRESENTATION
Undersigned accepts responsibility for coordination of proposed substitution and accepts all additional costs resulting from the incorporation of proposed substitution into the Project.
SUBMITTED BY: For Architect’s Use:
Accepted
Not Accepted
No Action Required Submission: Incomplete Too Late
Reviewed by/Date:
Comments:
Subcontractor’s signature and date:
Contractor’s signature and date:
To: Carolyn Holt, Buyer Project: Project Name
| Date Received: |
| Specification Section Number and Paragraph: |
| Drawings and details affected: |
| Proposed Substitution: |
| Manufacturer: |
| Product model pattern etc: |
| SUBMITTED BY 1: |
| SUBMITTED BY 2: |
| Reviewed byDate: |
| Comments: |
| Check Box3: Off |
| Check Box4: Off |
| Check Box2: Off |
| Check Box5: Off |
| Check Box6: Off |
| Check Box7: Off |
| Check Box8: Off |
| Check Box9: Off |
| Check Box10: Off |
| Check Box11: Off |
File details come from the government source that posted it. Updated .