Substitution Request Form.pdf
PDF 116 KB Posted
- Solicitation number
- 146219
- Issued by
- Multnomah County, Oregon
About this file
This is a Substitution Request Form used by the Port of Portland for construction and procurement projects. The form provides a standardized process for contractors and suppliers to request approval to substitute materials, products, or equipment from those originally specified in contract documents. The submitter must provide detailed information about the proposed substitution, including the trade name, model number, manufacturer details, and supporting documentation such as product descriptions, specifications, drawings, photographs, and performance data. The form requires the submitter to certify that the proposed substitution is equal or superior to the specified product, maintains equivalent warranty and maintenance service capabilities, does not adversely affect other trades or the project schedule, and does not impact dimensional or functional clearances.
The Port of Portland's review process offers four possible outcomes: approval to proceed with submittals in accordance with General Conditions and Specification Section 013300, conditional approval with noted modifications, rejection requiring use of specified materials, or denial based on late submission. The submitter bears responsibility for any additional costs resulting from design changes necessitated by the substitution. The form, which was originally based on CSI Form 1.5C (January 2013 version), was revised by the Port in March 2019 and includes checkboxes for documenting attached supporting materials, the action date, and the reviewing official's signature.
View the file
Other files
Show 40 more
Latest 50 of 248 listed here. See the rest on GovTribe.
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
Project: From:
To: Port of Portland Date:
Specification
Title:
Specification
Section No.:
Section
Page:
Article/
Paragraph:
Proposed Substitution:
Trade Name: Model No.:
Manufacturer: Address: Phone:
Attached data includes product description, specifications, drawings, photographs, and performance and test data adequate for evaluation of the request; applicable portions of the data are clearly identified.
Attached data also includes a description of changes to the Contract Documents that the proposed substitution will require for its proper installation.
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. Proposed substitution does not affect dimensions and functional clearances.
• Undersigned will pay for changes to building design, including A/E design, detailing, and construction costs caused by the substitution.
Submitted By:
Signature:
Address:
Telephone:
PORT REVIEW AND ACTION
☐ Substitution approved – Make submittals in accordance with the General Conditions and Specification Section 013300.
☐ Substitution approved as noted – Make submittals in accordance with the General Conditions and Specification
Section 013300.
☐ Substitution rejected – Use specified materials.
☐ Substitution request received too late – Use specified materials.
Signed by: Date:
Supporting Data Attached: ☐ Drawings ☐ Product Data ☐ Samples ☐ Tests ☐ Reports ☐
CSI Form 1.5C Version January 2013
Port-revised March 2019
| Project: |
| From: |
| Date: |
| Specification Title: |
| Section No: |
| Section Page: |
| Article Paragraph: |
| Proposed Substitution: |
| Trade Name: |
| Model No: |
| Manufacturer: |
| Phone: |
| Submitted By: |
| Address2: |
| Telephone: |
| Substitution approved – Make submittals in accordance with the General Conditions and Specification Section 013300: Off |
| Substitution approved as noted – Make submittals in accordance with the General Conditions and Specification: Off |
| Substitution rejected – Use specified materials: Off |
| Substitution request received too late – Use specified materials: Off |
| Drawings: Off |
| Product Data: Off |
| Samples: Off |
| Tests: Off |
| Reports: Off |
| Other: Off |
| Other Description: |
| Action Date: |
| Address: |
| Address1: |
File details come from the government source that posted it. Updated .