2-26-024 Substitution Reqeust Form.pdf
PDF 193 KB Posted
- Attached to
- Judicial Center Additional Office Buildout
- Solicitation number
- 26-024
- Issued by
- Winnebago County, Wisconsin
About this file
This is a Substitution Request Form issued by Walworth County in Wisconsin for RFB #26-024, the Judicial Center Additional Office Buildout project (GovTribe ID: 260014.00). The form is designed to document and track requests for material or product substitutions during the bidding and construction phases. Contractors and bidders may submit substitutions for pre-bid approval prior to the bid date, citing reasons such as product unavailability or cost savings to the owner. The form requires submission to Carolyn Holt, Senior Buyer, and must include the affected specification sections, drawings, manufacturer details, and proposed product information. Submitters are required to answer questions regarding whether the substitution affects dimensions shown on drawings, impacts work in other specification sections, or necessitates design modifications or drawing revisions.
The form establishes that the contractor or bidder assumes responsibility for coordination of any approved substitution and accepts all additional costs resulting from its incorporation into the project. The architect or project manager reviews all submissions and indicates acceptance, rejection, or requests for incomplete information. All checkboxes on the submitted form appear unchecked, indicating that the specific details of the substitution request were not completed at the time of submission. The project involves converting a white-box storage area into three offices for the Walworth County District Attorney, including selective demolition, installation of borrowed lites, modifications to lighting, HVAC and fire sprinkler systems, power and data extension, metal stud framing with gypsum board and insulation, carpet, paint and ceiling tile finishes, and a separate chain link enclosure for basement storage shelving.
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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, Senior Buyer Project: RFB # 26-024 Walworth County Judicial Center - Additional Office Buildout
260014.00
| 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 .