SUBSTITUTION_REQUEST_FORM_.pdf
PDF 38 KB Posted
- Attached to
- Pavement Markings Request for Quote
- Solicitation number
- 2026.044-ITQ
- Issued by
- Washington County, Oregon
About this file
This Substitution Request Form is designed for use in conjunction with Washington County's Pavement Markings Request for Quote, a three-year contract valued at $200,000.00 for pavement marking materials. The form allows bidders to propose alternative products or materials in place of those specified in the original contract documents. Requesters must provide comprehensive documentation including product descriptions, specifications, drawings, photographs, and performance or test data sufficient for evaluation. The form requires submission of section, page, paragraph, and item description information along with detailed information about the proposed substitution and any necessary changes to contract documents required for proper installation.
The submitter must certify that the proposed substitution does not affect drawing dimensions, will not adversely affect other trades or the construction schedule, maintains warranty requirements, and offers function, appearance, and quality equivalent to or superior to the specified item. Additionally, the submitter must confirm that maintenance and service parts for the proposed substitution will be locally available. The form includes signature blocks for submission and acceptance determination, with options for acceptance, acceptance as noted, or non-acceptance, along with space for receiving date, remarks, and other administrative notation by the receiving party.
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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 :
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