Attachment J-1d Product Substitution Request.pdf

PRODUCT SUBSTITUTION REQUEST FORM

Note: This form to be used by General Contractor only. Requests by others will be returned with no response.

Project:

Location:___________________________________________________________________________

Government:_____________________________________________________________________________

Date: ______________________________________________________________________________

We hereby submit for your consideration the following substitution instead of the item specified or shown on the Drawings:

Section Number: Paragraph Specified item

Proposed Substitution:

Attach complete product data, drawings and descriptions of products, with fabrication and installation details.

Provide laboratory tests if applicable.

Provide sample, if applicable. Indicate if sample will be provided under separate cover.

Include complete information on changes to Drawings and/or Specifications that proposed substitution will require for its proper installation.

Fill in blanks below: (Include attachments if space is insufficient. Failure to provide information will void submittal)

A. Reason(s) for proposed substitution: (check all that apply) _____ 1. Request is equivalent to product/material/assembly specified. (Note: Attach technical documentation) _____ 2. Specified product or method cannot be provided within the Contract time. (Note: This request will not be considered if the product or method cannot be provided as a result of the Contractor’s failure to pursue the Work promptly, or to coordinate the various activities properly, of if the Contractor fails to place timely orders)

_____ 3. Specified product or method cannot receive necessary approval by authority having jurisdiction, and Contractor certifies that the requested substitution can be approved. (Note: Attach approval documentation)

_____ 4. A substantial advantage is offered the Government, in terms of cost, time, energy conservation or other considerations of merit, after deducting redesign and evaluation costs of other work by the Government or separate contractors and similar considerations.

_____ 5. Specified product or method cannot be provided in a manner which is compatible with other materials of the Work, and the Contractor certifies that the substitution will overcome the incompatibility.

_____ 6. Specified product cannot be properly coordinated with other materials in the Work, and the Contractor certifies that the proposed substitution can be properly coordinated.

_____ 7. Specified product or method cannot receive a warranty as required by Contract Documents, and Contractor certifies that the proposed substitution can receive required warranty.

B. Does the substitution affect dimensions or details shown on Drawings:

_____ No

_____ Yes (Note: Attach marked up prints of drawings showing changes required)

C. What effect does the substitution have on other trades?

D. Compare significant qualities of proposed substitution with those of work or product originally specified or shown on drawings. Include elements such as size, weight, durability, performance, visual effect, etc.

E. Coordinate information. Include all changes required in other elements of the work in order to accommodate the substitution, including work performed by Government or separate contractors.

F. State effect substitution will have on the work schedule in comparison to the schedule which would prevail without the proposed substitution. State the effect of the proposed substitution on Contract Time.

G. Provide complete cost information, including a proposal of any net change in the Contract Amount.

H. Manufacturer’s warranties of the proposed substitution and specified items are:

_____ Same

_____ Different (Note: Explain on attachment)

The undersigned Contractor certifies its opinion that, after thorough evaluation, the proposed substitution will result in work that in every significant respect will be equivalent to or superior to the work required by the original Contract Documents and that it will perform adequately in the application indicated.

Rights to additional payment or time because of failure of the substitution to perform adequately are hereby waived.

The undersigned hereby agrees to pay in full for any changes to design, including detailing and engineering costs caused by the requested substitution.

Submitted by: (Note: Submittal void and will be discarded if unsigned or if signed by entity other than Contractor)

Signature: ______________________________________________________ (Contractor’s authorized representative)

(Title)

Firm Name: ______________________________________________________

Date: ______________________________________________________

For use by Contracting Officer Representative:

_____ Accepted _____ Accepted as Noted

_____ Not Accepted _____ Received too late

By: _____________________________________ Date: _____________________________________ (Contracting Officer Representative)

By: _____________________________________ Date: _____________________________________ (Contracting Officer Representative)

Remarks: