SUBSTITUTION_REQUEST_FORM_.pdf

PDF 38 KB Posted

Attached to
100700 - Signal Pole Pre-order for Bonita/Sequoia Intersection
Solicitation number
2026.007-ITQ
Issued by
Washington County, Oregon

About this file

This is a Substitution Request Form used by Washington County, Oregon for the Signal Pole Pre-order for Bonita/Sequoia Intersection project in Tigard. The form provides a standardized template for bidders and contractors to request approval of proposed substitutions to specified items detailed in the contract documents. The form requires submitters to identify the bid number, specify the original item being substituted by section, page, and paragraph reference, and provide detailed information supporting the substitution request. Contractors must submit comprehensive product data including descriptions, specifications, drawings, photographs, and performance or test data sufficient for evaluation.

The form requires submitters to certify that the proposed substitution does not affect drawing dimensions, will not adversely impact other trades, construction schedules, or warranty requirements, and that maintenance and service parts will be locally available. Submitters must also attest that the proposed substitution is functionally, aesthetically, and qualitatively equivalent or superior to the specified item. The form includes submission fields for contractor information, signature, and date, along with designated spaces for the receiving party to document receipt date, timestamp, and decision status, with options to accept, accept with noted modifications, or reject the substitution request. Remarks sections allow for additional comments regarding the disposition of each request.

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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 .