2-26-054 - Substitution Request Form.pdf
PDF 195 KB Posted
- Solicitation number
- 26-054
- Issued by
- Winnebago County, Wisconsin
About this file
This is a Substitution Request Form for Walworth County, Wisconsin's Department of Public Works Garage Door Replacement project (No. 26-054). The form provides a standardized process for contractors and bidders to request approval of substitute materials or products prior to or during the bidding phase. The project involves the demolition of one oversized salt dome garage door system and the furnish and installation of a replacement rolling door, operator, track, and associated components.
The substitution request form requires submitters to identify the specification section affected, provide drawings and details impacted, and specify the proposed manufacturer and product model. Requestors must indicate whether the substitution is submitted as a pre-bid request, due to product unavailability, for cost savings with comparative cost analysis, or for other reasons. The form requires detailed responses regarding whether the substitution affects dimensions, other work sections, or requires design modifications or specification changes. Contractors and bidders must accept responsibility for coordination and all additional costs resulting from the substitution. Submissions are directed to Carolyn Holt, Senior Buyer, and are subject to architect review with determinations of acceptance, rejection, or deferral pending further information. The form tracks submission status including incomplete or late submissions.
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Other files
| File | Type | Posted |
|---|---|---|
| 3-26-054 Drawings.pdf | ||
| 1-26-054 - List of Subcontractors.pdf | ||
| 4-26-054 - Project Manual - final.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, Senior Buyer Project: #26-054 Department of Public Works Garage Door Replacement
N/A
| 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 .