Appendix J - Substitution Request Form.pdf

PDF 137 KB Posted

Attached to
Wylie, Dexter High School, Dexter Field House Technology
Solicitation number
RFP DEXT 260000002142 1
Issued by
Washtenaw County, Detroit City, Michigan

About this file

This is a Substitution Request Form used during the procurement process for the Wylie Dexter High School Dexter Field House Technology project in Michigan. The form provides a standardized mechanism for contractors, subcontractors, suppliers, or manufacturers to request approval to substitute proposed materials or products for those specified in the contract documents. Submitters must provide detailed information including the manufacturer, trade name, model number, product history, and point-by-point comparative data demonstrating that the proposed substitution is equal or superior to the specified product. The form requires documentation of supporting data such as drawings, product specifications, samples, test results, and reports to substantiate the substitution request.

The submitter must certify that the proposed substitution maintains equivalent warranty and maintenance service provisions, poses no adverse effects on other trades, will not impact the project schedule, and does not affect dimensional or functional clearances. The Architect/Engineer (A/E) review and action section permits four possible outcomes: approval for submittals per specification, conditional approval with noted requirements, rejection requiring use of specified materials, or rejection due to untimely submission. The form requires signatures from both the submitting party and the A/E project manager along with the submission date, with space for additional comments regarding the substitution request decision.

View the file

Other files

Show all 19

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

SUBSTITUTION REQUEST FORM (DURING PROCUREMENT)

Project:

To:

Re:

From:

Date:

A/E Project Number:

Contract For:

Specification Title: Description:

Section: Page: Article/Paragraph:

Proposed Substitution:

Manufacturer: Address: Phone:

Trade Name: Model No.:

History: New product 2-5 years old 5-10 yrs old More than 10 years old

Differences between proposed substitution and specified product:

Point-by-point comparative data attached

Similar Installation:

Project: Architect:

Address: Owner:

Date Installed:

Proposed substitution affects other parts of Work: No Yes; explain

Supporting Data Attached: Drawings Product Data Samples Tests Reports

The Undersigned certifies:

• Proposed substitution has been fully investigated and determined to be equal or superior in all respects to specified product.

• Same warranty will be furnished for proposed substitution as for specified product.

• Same maintenance service and source of replacement parts, as applicable, is available.

• Proposed substitution will have no adverse effect on other trades and will not affect or delay progress schedule.

• Claims for additional costs related to accepted substitution which may subsequently become apparent are to be waived.

• Proposed substitution does not affect dimensions and functional clearances.

SUBSTITUTION REQUEST FORM (DURING PROCUREMENT)

Submitted by:

Signed by:

Firm:

Address:

Telephone:

Attachments:

A/E's REVIEW AND ACTION

Substitution approved - Make submittals in accordance with Specification Section 00 43 25.

Substitution approved as noted - Make submittals in accordance with Specification Section 00 43 25.

Substitution rejected - Use specified materials.

Substitution Request received too late - Use specified materials.

Signed by: _______________________________________________ Date:

(Project Manager)

Additional Comments: Contractor Subcontractor Supplier Manufacturer A/E

SUBSTITUTION REQUEST FORM (DURING PROCUREMENT:
From:
Project:
Date:
Date (1):
A/E Project Number:
Contract For:
Contract For (1):
Section:
History:
2-5 years old:
5-10 yrs old:
More than 10 years old:
Differences between proposed substitution and specified product:
Text11:
Point-by-point comparative data attached:
Project (1):
Date Installed:
Yes; explain:
No:
No (1):
Text15:
Drawings:
Product Data:
Samples:
Tests:
Reports:
Text18:
Address:
Text20:
Telephone:
Attachments:
Text23:
Text24:
Text25:
Substitution approved - Make submittals in accordance with Specification Section 00 43 25:
Substitution approved as noted - Make submittals in accordance with Specification Section 00 43 25:
Substitution rejected - Use specified materials:
Substitution Request received too late - Use specified materials:
Date:
Project Manager:
Project Manager (1):
Contractor:
Subcontractor:
Supplier:
Check Box21:
A/E:
A/E (1):
Text30:
Text31:
Text32:
Text33:
Text34:
Text35:
Text36:
Text37:
Text38:
Text39:
Text40:
Text41:
Text42:
Text43:
Text44:
Text45:
Text46:
Text47:
Text48:
Text49:
Text50:
Text51:
Text52:
Text53:
Text54:
Text55:

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