3-26-026 Attachment A - Substitution Reqeust Form.pdf
PDF 192 KB Posted
- Attached to
- Price Park Natural Playground
- Solicitation number
- 26-026
- Issued by
- Winnebago County, Wisconsin
About this file
This is a Substitution Request Form issued by Walworth County for the Price Park Natural Playground project (RFB #26-026). The form provides a standardized process for contractors and bidders to request approval for substituting specified products or materials prior to bid submission or during contract performance. The form requires detailed information including the specification section affected, drawings impacted, manufacturer details, and product specifications. Submitters must identify the reason for substitution—whether due to product unavailability, cost savings, or other factors—and provide comparative cost analysis when applicable. The form requires contractors and bidders to certify their acceptance of responsibility for coordinating the substitution and for absorbing any additional costs resulting from incorporation of the proposed substitution into the project. Submissions are directed to Carolyn Holt, Senior Buyer, with space for architect review and approval or rejection.
The form includes checkboxes for the architect to indicate acceptance status, submission completeness, timeliness, and review comments. Submitters must provide signatures from both subcontractors and contractors with corresponding dates. The document serves as the formal mechanism for managing material or product changes throughout the bidding and construction phases of the natural playground project, ensuring that any deviations from the original specifications are documented, evaluated for impact on project scope and design, and formally approved before implementation.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-26-026 Attachment B - Sample Contract.pdf | ||
| 1-26-026 Drawings 3-23-26.pdf | ||
| 2-26-026 - RFB - Final.pdf |
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Text version
Walworth County
ATTACHMENT A
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: Price Park Natural Playground Walworth County RFB #26-026
| 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 .