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 PDF
1-26-026 Drawings 3-23-26.pdf PDF
2-26-026 - RFB - Final.pdf 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 .