Substitution Request Form.pdf

PDF 116 KB Posted

Attached to
Portland International Airport Taxiway K West Gates E3 to E6 and Vehicle Service Road Rehabilitation
Solicitation number
146992
Issued by
Multnomah County, Oregon

About this file

This is a Substitution Request Form related to the Portland International Airport Taxiway K West Gates E3 to E6 and Vehicle Service Road Rehabilitation project in Oregon. The form provides a structured process for contractors to request substitutions of materials, products, or equipment specified in the contract documents. The substitution request form outlines the requirements and procedures that bidders and contractors must follow when proposing alternatives to specification-listed items, including detailed documentation of the proposed substitute, technical specifications, performance data, and justification for the substitution request. The form typically requires submission prior to bid award or during the construction phase, depending on when the substitution is identified, and must be approved by the project engineer or contracting officer before implementation.

The substitution request process establishes clear guidelines for evaluating proposed alternatives to ensure they meet or exceed the performance requirements and standards of the original specifications. Contractors must demonstrate that substitute materials or products provide equivalent or superior quality, durability, and functionality while addressing any cost implications or scheduling impacts. The form serves as documentation that maintains project integrity and protects both the contracting agency and the contractor by creating a formal record of approved modifications to specified materials and equipment for the taxiway and vehicle service road rehabilitation work.

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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:

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