2-26-054 - Substitution Request Form.pdf

PDF 195 KB Posted

Attached to
Department of Public Works Garage Door Replacment
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 PDF
1-26-054 - List of Subcontractors.pdf PDF
4-26-054 - Project Manual - final.pdf 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 .