1-26-023 - 00 43 10 Substitution Reqeust Form - Fillable.pdf
PDF 191 KB Posted
- Attached to
- Judical Center HVAC Valve Replacement
- Solicitation number
- 26-023
- Issued by
- Winnebago County, Wisconsin
About this file
This is a Substitution Request Form for Walworth County, Wisconsin, specifically related to Project #26-023, the Judicial Center HVAC Valve Replacement. The form serves as a standardized document for contractors and bidders to request approval for product substitutions prior to or during the bidding process. The form requires submitters to identify the specification section and paragraph affected, provide detailed information about the proposed substitution including manufacturer and product model, and explain the reason for the substitution, whether due to product unavailability, cost savings, or other factors. Contractors must address potential impacts of the substitution on project dimensions, work in other sections, and design requirements. The form is submitted to Carolyn Holt, Buyer, and requires signatures from both the subcontractor and contractor along with architectural review and approval documentation.
The substitution request process includes architect review with options for acceptance, rejection, or noting submissions as incomplete or late. The form requires attachments such as comparative cost analyses when cost savings are claimed as justification. All additional costs resulting from approved substitutions become the responsibility of the contractor. This streamlined process ensures that any product deviations from the original specifications are formally documented, reviewed, and authorized before incorporation into the Judicial Center HVAC valve replacement project, maintaining project integrity and cost control.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-26-023 - Project Manual Final.pdf | ||
| 2-26-023 - 00 43 36 List of Subcontractors.pdf | ||
| 3-26-023 - Drawings.pdf |
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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: #26-023 Judicial Center HVAC Valve Replacement
| 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 .