3-25-122 Substitution Form - Attachment A.pdf

PDF 186 KB Posted

Attached to
Paint Truck
Solicitation number
25-122
Issued by
Winnebago County, Wisconsin

About this file

The document is a Substitution Request Form for the Paint Truck RFP #25-122, intended for use by a county procurement process. The form provides a standardized template for proposers to request substitution of specified products or materials, with space to detail the original item, proposed replacement, and justification for the substitution. The form requires proposers to comprehensively outline how the recommended substitutions meet or exceed preferred specifications and explain any differences between the proposed and originally specified products.

The form is designed to facilitate a structured review process, with sections for the proposer to complete including item details, manufacturer information, and justification narrative. The county retains the final decision-making authority, with checkboxes to accept or reject the substitution request and space for additional comments. The document includes signature lines for both the submitting party and the county reviewer, creating a formal documentation trail for product substitution requests within this procurement process.

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Text version

ATTACHMENT A

Substitution Request Form

Paint Truck RFP #25-122

Proposer Name: _________________________________________________________________

Instructions: Attach all pertinent documentation to support this request and submit via Bonfire Messages.

Only one substitution request per form. Please be sure to fill in all blanks.

We hereby submit for your review the following substitution for the following specified product for the above project:

Item Number Description Manufacturer / Model

Proposed Part Number Description Proposed Manufacturer / Model

A. Outline how the recommended substitutions meet or exceed preferred specifications.

B. What are the differences between the proposed substitution and the product specified?

Submitted By:

Name & Title (Print) Signature Date

Substitution Accepted ☐ Substitution Rejected ☐

Comments:

Reviewed By:

Name & Title (Print) Signature Date

For Use by County

Sign Maintenance Utility Truck:
Item Number:
Proposed Part Number:
Name Title Print:
Date_2:
Description 1:
Manufacturer/Model:
Description 2:
Proposed Manufacturer/Model:
Text5:
Text6:

File details come from the government source that posted it. Updated .