SUBSTITUTION
REQUEST
(After the Bidding phase)
 
Project: Substitution Request Number:
    From:
To: Date: 
    A/E project Number:
Re: Contract For:
Specification Title:
Description:
Section:
Page:
Article/Paragraph:
Proposal Substitution:
Manufacturer: Address: Phone:
Trade Name: Model No.:
Installer: Address: Phone:
History: New Product 2-5 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 subtitution affects other parts of Work:
No Yes;
explain
Saving to Owner for accepting substitution: ($).
Proposed substitution changes Contract Time: No Yes [Add] [Deduct] days.
Supporting data Attached: Drawings Product Data Samples Tests Reports
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 01330.
Substitution approved as noted - Make submittals in accordance with Specification Section 01330.
Substitution rejected - Use specified materials.
Substitution Request received too late - Use specified materials.
Signed by: Date:
Additional Comments: Contractor Subcontractor Supplier Manufacturer A/E
Copyright 1996, Construction Specifications Institute,
99 Canal Center Plaza, Suite 300 Alexandria, VA 22314 		September 1996
CSI Form 12.1A
Products are available through local distribution.