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Home My WebLink AboutSUBSTITUTION REQUEST FORM _Rev_0SUBSTITUTION REQUEST FORM We hereby submit for your consideration the following product instead of the specified item for the following project: PROJECT TITLE PROJECT NO. DRAWING NO.DRAWING TITLE SPEC. SECTION SPEC. TITLE PARAGRAPH SPECIFIED ITEM Proposed Substitution: _________________________________________________________________________ Attach complete information on changes to Drawings and/or Specifications which proposed substitution will require for its proper installation. Submit, with request, all necessary samples and substantiating data to prove equal quality and performance to that which is specified. Clearly mark manufacturer's literature to indicate equality in performance. Substitutions of the materials and equipment described in the Contract Documents will be considered during the bidding period upon receipt or a written request to the Architect for approval up to seven (7) days before receipt of bids. Verbal or written requests without the completed Substitution Request Form will not be considered. CERTIFICATION OF EQUAL PERFORMANCE AND ASSUMPTION OF LIABILITY FOR EQUAL PERFORMANCE The undersigned states that the function, appearance, and quality are equivalent or superior to the specified item. Submitted by: Signature Firm Address Telephone Signature shall be by person having authority to legally bind his firm to the above terms. Failure to provide legally binding signature will result in retraction of approval. Email Date Fill in Blanks Below: A.Does the substitution affect dimensions shown on Drawings? If yes, clearly indicate changes: Yes No B.Will the undersigned pay for changes to the building design, including engineering and detailing costs caused by the requested substitution? If no, fully explain: Yes No Five Sullivan Brothers CC Kitchen Plmb Improvements City of Waterloo INVISION #16021 01 60 01 SUBSTITUTION REQUEST FORM 1 of 2 Five Sullivan Brothers CC Kitchen Plmb Improvements 01 60 01 City of Waterloo SUBSTITUTION REQUEST FORM INVISION #16021 1 of 2 SUBSTITUTION REQUEST FORM We hereby submit for your consideration the following product instead of the specified item for the following project: PROJECT TITLE ______________________________________________ PROJECT NO. ____________ DRAWING NO. ______________ DRAWING TITLE __________________________________________ SPEC. SECTION SPEC. TITLE PARAGRAPH SPECIFIED ITEM _____________ _______________________ _________________ ________________________ Proposed Substitution: _________________________________________________________________________ Attach complete information on changes to Drawings and/or Specifications which proposed substitution will require for its proper installation. Submit, with request, all necessary samples and substantiating data to prove equal quality and performance to that which is specified. Clearly mark manufacturer's literature to indicate equality in performance. Substitutions of the materials and equipment described in the Contract Documents will be considered during the bidding period upon receipt or a written request to the Architect for approval up to seven (7) days before receipt of bids. Verbal or written requests without the completed Substitution Request Form will not be considered. CERTIFICATION OF EQUAL PERFORMANCE AND ASSUMPTION OF LIABILITY FOR EQUAL PERFORMANCE The undersigned states that the function, appearance, and quality are equivalent or superior to the specified item. Submitted by: ________________________________________________________ ____________________________ Signature ____________________________________________________________________________________________ Firm ____________________________________________________________________________________________ Address ________________________________________________________ ____________________________ Telephone Email Date Signature shall be by person having authority to legally bind his firm to the above terms. Failure to provide legally binding signature will result in retraction of approval. Fill in Blanks Below: A. Does the substitution affect dimensions shown on Drawings? Yes _____ No _____ If yes, clearly indicate changes: _____________________________________________________________________________________ _____________________________________________________________________________________ B. Will the undersigned pay for changes to the building design, including engineering and detailing costs caused by the requested substitution? Yes _____ No _____ If no, fully explain: _____________________________________________________________________________________ _____________________________________________________________________________________ For Use by Design Professional: __________ Recommended For Use by Owner's Representative or Owner: __________Approved ___ __________ Not Approved ___ Five Sullivan Brothers CC Kitchen Plmb Improvements 01 60 01 City of Waterloo SUBSTITUTION REQUEST FORM INVISION #16021 2 of 2 C. What effect does substitution have on other Contracts or other trades? _____________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ D. What effect does substitution have on construction schedule? ____________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ E. Manufacturer's warranties of the proposed and specified items are: __________ Same __________ Different (Explain on Attachment) F. Reason for Request: ____________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ G. Itemized comparison of specified item(s) with the proposed substitution. List significant variations: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ H. Accurate cost data comparing proposed substitution with product specified: _________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ I. Designation of maintenance services and sources: ____________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ (ATTACH ADDITIONAL SHEETS IF REQUIRED) For Use by Design Professional: __________ Recommended __________ Recommended as Noted __________ Not Recommended __________ Received Too Late Signed By _______________________________________________ Date ____________________________________________________ For Use by Owner's Representative or Owner: __________ Approved __________ Approved as Noted __________ Not Approved __________ Approved Too Late Signed By _______________________________________________ Date ____________________________________________________