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HomeMy WebLinkAbout00-6325-Substitution-Request-Form-(During-Construction)_Rev_1Dennis Yarmouth Intermediate Middle School January 19, 2021 Dennis Yarmouth Regional School District 100% Construction Documents Perkins Eastman DPC, project #71011 SUBSTITUTION REQUEST FORM 00 6325 - 1 DOCUMENT 00 6325 SUBSTITUTION REQUEST FORM 1.1 SUBSTITUTION REQUEST A. The following attached form shall be used for this Contract: 1. Substitution Request: CSI Form 13.1A, "Substitution Request." B. Related Requirements: 1. Document 00 6313 "Request For Information Form." 2. Section 01 2500 "Substitution Procedures" for administrative and procedural requirements for substitutions. END OF DOCUMENT (THIS PAGE IS BLANK) SUBSTITUTION REQUEST (After the Bidding/Negotiating Phase) Project: To: Re: Substitution Request Number: From: Date: A/E Project Number: Contract For: Specification Title: Section: Page: Description: Article/Paragraph: Proposed Substitution: Manufacturer: Phone: Address: Trade Name: Model No.: Installer: Phone: Address: History: New product 1-4 years old 5-10 years old More than 10 years old Differences between proposed substitution and specified product: Point-by-point comparative data attached — REQUIRED BY A/E Reason for not providing specified item: Similar Installation: Project: Architect: Address: Owner: Date Installed: Proposed substitution affects other parts of Work: No Yes; explain Savings to Owner for accepting substitution: ($ ). Proposed substitution changes Contract Time: No Yes [Add] [Deduct] days. Supporting Data Attached: Drawings Product Data Samples Tests Reports © Copyright 2007, Construction Specifications Institute, 99 Canal Center Plaza, Suite 300, Alexandria, VA 22314 Page of Form Version: June 2004 CSI Form 13.1A * Add project name * Add Architect, EOR or GC ( For Architect to fill in ) * Add your name & company name * Add request date * Add if known * Add scope of contract * Add title of spec book * Spec section * Spec page * Add section title from spec book * Add spec paragraph * Add subs company name * Add subs phone * Add subs company address ✔ * Add a completed project * Add a completed project address * Add name of architect of completed project * Add name of owner of completed project * Add date of completed project 1 2 SUBSTITUTION REQUEST (After the Bidding/Negotiating Phase — Continued) 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. • Cost data as stated above is complete. Claims for additional costs related to accepted substitution which may subsequently become apparent are to be waived. • Proposed substitution does not affect dimensions and functional clearances. • Payment will be made for changes to building design, including A/E design, detailing, and construction costs caused by the substitution. • Coordination, installation, and changes in the Work as necessary for accepted substitution will be complete in all respects. Submitted by: Signed by: Firm: Address: Telephone: Attachments: A/E’s REVIEW AND ACTION Substitution approved - Make submittals in accordance with Specification Section 01 25 00 Substitution Procedures. Substitution approved as noted - Make submittals in accordance with Specification Section 01 25 00 Substitution Procedures. Substitution rejected - Use specified materials. Substitution Request received too late - Use specified materials. Signed by: Date: Additional Comments: Contractor Subcontractor Supplier Manufacturer A/E Other: © Copyright 2007, Construction Specifications Institute, 99 Canal Center Plaza, Suite 300, Alexandria, VA 22314 Page of Form Version: June 2004 CSI Form 13.1A * Add submitters name (typically the Project Manager for the Sub) * Add submitters company name * Add submitters company address * Add submitters company phone number * Add list of attachments 2 2