21-25-26-02-20 SUBSTITUTION REQUEST FORM.pdf
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- Attached to
- HODGE ELEMENTARY REFRIGERATOR
- Solicitation number
- 25-26-02-20
- Issued by
- Los Angeles County, Anaheim City, California
About this file
This is a Substitution Request Form issued by Azusa Unified School District (AUSD) in California for use during the bidding and construction process for a walk-in refrigerator project at Victor Hodge Elementary School, located at 700 W. 11th Street, Azusa, CA 91702. The form provides a structured process for contractors to propose alternative materials, equipment, or components as substitutes for items specified in the original project specifications and drawings. Contractors submitting substitution requests must provide comprehensive documentation including complete descriptions, catalog numbers, specification data, and laboratory testing results for the proposed items. The form requires detailed analysis of how the substitution would impact the project, including effects on dimensions, electrical systems, mechanical systems, structural elements, and architectural components, as well as how the substitution would affect other construction trades.
The form establishes specific requirements for substitution approval, including manufacturer warranty information, UL or other required listings and ratings for the proposed assembly, and any weight differences compared to the specified item. Contractors submitting substitutions must agree to pay all architectural and engineering costs associated with reviewing, testing, or revising drawings and specifications necessitated by the substitution, as well as any additional construction costs resulting from acceptance. The form provides space for price adjustments or credits to the contract price resulting from the substitution. AUSD reviews and approves, rejects, or conditionally accepts substitution requests, with dated notation and remarks provided by the district. Submissions include contractor information, contact details, and authorized signatures from corporate officers.
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YYAzusa Unified School District
SUBSTITUTION REQUEST FORM
(Add additional sheets as necessary to provide adequate information)
Specified Item
Specification Section Paragraph No. Drawing & Detail(s) No.
Proposed Substitution (Attach complete description, Catalog #s, Specification Data, Lab test, etc.)
1. Will Substitution effect dimensions indicated on Drawings?______(Yes)______(No)
2. Will Substitution effect Electrical, Mechanical, Structural Frame, Architecture, etc?______(Yes)______(No)
3. Is weight greater/lesser than specified item?_____(Yes)_____(No)_____ by how much?______________
4. What effect will substitution have on other trades?_____________________________________________
5. Difference between proposed and specified item?_____________________________________________
6. Manufacturer’s guarantee/warranty: same________ different________ Explain_____________________
7. Provide UL, WHI, (or other) Listing/Rating of proposed assembly._________________________________
8. If Substitution request is accepted, the owner will receive a credit of: $____________________________, which will be an adjustment to the contract price.
The undersigned agrees to pay all Architectural and Engineering costs, if required, to review, test or revise the drawings or specifications caused by this substitution, and further agrees to pay any and all additional construction costs created by acceptance of this substitution.
Submitted by:__________________________________
Firm:_________________________________________
Address:__________________________________________
AUSD Review Date:_______/_______/______
Accepted__________________ Not Accepted ______________
Accepted as noted __________
Remarks Phone:_________________Fax:_________________email:_______________
Signature:____________________________________Corporate Officer
Printed Name:_______________________________________________
Date:________________
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