2-25-126 00 43 10 Substitution Reqeust Form - Fillable.pdf
PDF 140 KB Posted
- Attached to
- Sheriff's Office Jail Proper Hardening
- Solicitation number
- 25-126
- Issued by
- Winnebago County, Wisconsin
About this file
This is a Substitution Request Form from Walworth County for the 25-126 Sheriff's Office Jail Proper Hardening project, with an A/E Project Number of 250028.00. The form is designed to allow contractors or subcontractors 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 substitution (such as product unavailability or potential cost savings), and requires the proposing party to assess and disclose any potential impacts on project dimensions, other work sections, or design requirements.
The form provides a structured method for documenting and reviewing proposed product substitutions, with sections for the contractor to explain the rationale and potential effects, and a space for the architect or project manager to accept, reject, or request more information about the proposed substitution. The document emphasizes that the contractor accepts responsibility for coordinating the substitution and assumes any additional costs resulting from incorporating the proposed alternative into the project. While no specific substitution details are filled out in this blank form, it serves as a standardized template for managing product or material changes during the procurement or construction process.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-25-126 List of Subcontractors.pdf | ||
| 4-25-126 Drawings.pdf | ||
| 3-25-126 Project Manual.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: 25-126 Sheriff's Office Jail Proper Hardening
250028.00
| 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 .