Substitution Request Form.pdf

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Attached to
Portland International Airport Passenger Boarding Bridges Floor Replacement
Solicitation number
147755
Issued by
Multnomah County, Oregon

About this file

This document is a Substitution Request Form used by the Port of Portland for the Portland International Airport Passenger Boarding Bridges Floor Replacement project in Oregon. The form serves as a formal mechanism for contractors and submitters to request approval to substitute specified materials or products with alternative options that they contend are equal or superior. Submitters are required to provide comprehensive supporting documentation including product descriptions, specifications, drawings, photographs, and performance test data to substantiate their substitution requests. The form captures essential project information such as the specification title, section number, and the specific article or paragraph being addressed, along with detailed information about the proposed substitute including trade name, model number, manufacturer details, and contact information.

The Port of Portland reviews all substitution requests and may approve the request, approve it with noted conditions, reject it requiring use of specified materials, or reject it as received too late for consideration. Submitters must certify that the proposed substitution has been thoroughly investigated and determined to be equal or superior to the specified product, offers equivalent warranty and maintenance service, will not adversely affect other trades or project schedules, and does not affect dimensions or functional clearances. Submitters also acknowledge responsibility for bearing any costs associated with changes to building design, engineering, detailing, and construction caused by the substitution. Upon approval, submitters are directed to make further submittals in accordance with the General Conditions and Specification Section 013300.

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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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