1-25-125 - Attachment A - Substitution Form.pdf

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Attached to
Sheriff's Office Ceiling Tile Replacement
Solicitation number
25-125
Issued by
Winnebago County, Wisconsin

About this file

This is a Substitution Request Form for the Walworth County Department of Public Works in Wisconsin, specifically related to RFB #25-125 for Sheriff's Office Ceiling Tile Replacement. The form serves as the official mechanism for bidders to request approval to substitute materials or products from those originally specified in the project requirements. Bidders must complete the form by identifying the item number, original product specifications, and the proposed substitute product with corresponding manufacturer and model information. The form requires bidders to demonstrate how the recommended substitution meets or exceeds the preferred specifications and to clearly articulate any differences between the proposed substitution and the originally specified product. Submissions must include all pertinent supporting documentation and be submitted via Bonfire Messages, with only one substitution request permitted per form.

The completed form requires submission by the bidder with signature and date, and is subject to review and approval or rejection by county officials designated as the reviewing authority. The form includes designated spaces for the reviewer to document their decision, provide comments regarding the substitution request, and authorize approval or rejection. Additionally, the form contains a separate section for use by the County Sign Maintenance Utility Truck, which includes fields for item number, proposed part number, manufacturer/model information, and descriptions. This substitution process ensures that any product or material changes proposed by bidders undergo formal evaluation and authorization before incorporation into the final project scope.

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Text version

ATTACHMENT A

Substitution Request Form

Sheriff's Office Ceiling Tile Replacement RFB #25-125

Bidder Name: _________________________________________________________________

Instructions: Attach all pertinent documentation to support this request and submit via Bonfire Messages.

Only one substitution request per form. Please be sure to fill in all blanks.

We hereby submit for your review the following substitution for the following specified product for the above project:

Item Number Description Manufacturer / Model

Proposed Part Number Description Proposed Manufacturer / Model

A. Outline how the recommended substitutions meet or exceed preferred specifications.

B. What are the differences between the proposed substitution and the product specified?

Submitted By:

Name & Title (Print) Signature Date

Substitution Accepted ☐ Substitution Rejected ☐

Comments:

Reviewed By:

Name & Title (Print) Signature Date

For Use by County

Sign Maintenance Utility Truck:
Item Number:
Proposed Part Number:
Name Title Print:
Date_2:
Description 1:
Manufacturer/Model:
Description 2:
Proposed Manufacturer/Model:
Text5:
Text6:

File details come from the government source that posted it. Updated .