SUBSTITUTION_REQUEST_FORM.pdf

PDF 38 KB Posted

Attached to
Supply and Construct Palletized Shelters
Solicitation number
2023.033 ITB
Issued by
Washington County, Amity City, Oregon

About this file

The document is a Substitution Request Form related to the Washington County Supportive Housing Services (WCSHS) project for palletized shelters in Aloha, Oregon. The form provides a standardized template for proposing an alternative product or material to replace a specified item in the original contract specifications. The form requires detailed documentation, including product descriptions, specifications, drawings, photographs, performance data, and information about potential changes to contract documents necessitated by the proposed substitution.

The form outlines specific requirements for substitution requests, including confirmation that the proposed item does not alter drawing dimensions, will not adversely affect other trades or construction schedules, and that maintenance and service parts will be locally available. The submitting party must affirm that the proposed substitution is equivalent or superior to the originally specified item in function, appearance, and quality. The form includes sections for the recipient to mark the status of the request (Accepted, Accepted as Noted, Not Accepted, or Received Late) and provides space for additional remarks or notes about the proposed substitution.

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Text version

SUBSTITUTION REQUEST FORM

TO:

BID NUMBER: #

SPECIFIED ITEM:

Section Page Paragraph Description

The undersigned requests consideration of the following:

PROPOSED SUBSTITUTION:

Attached data includes product description, specifications, drawings, photographs, performance and test data adequate for evaluation of the request; applicable portions of the data are clearly identified.

Attached data also includes description of changes to Contract Documents that the proposed substitution will require for its proper installation.

The undersigned states that the following paragraphs, unless modified on attachments, are correct:

1. The proposed substitution does not affect dimensions shown on Drawings.

2. The proposed substitution will have no adverse affect on other trades, the construction schedule, or specified warranty requirements.

3. Maintenance and service parts will be locally available for the proposed substitution.

The undersigned further states that the function, appearance and quality of the Proposed Substitution are equivalent or superior to the Specified Item.

Submitted by:

Signature

Firm

Address

__Accepted

__Accepted as noted

__Not Accepted

__Received Late

Date

Telephone

Received By:

Date :

Remarks :

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