SUBSTITUTION REQUEST

(During the Bidding Phase)

Project: Westmere Fire District Overhead Door Replacement 1741 Western Avenue, Al an!, "e# $or% 1&&'( )o: *+)+ ,ale Associates -' *entur! .ill Drive, /atham, "e# $or% 1&11' Re: 0u stitution Re1uest "um er: From: Date: A23 Project "um er: *ontract For: 1'+114-5O.D

0peci6ication )itle: 0ection: Proposed 0u stitution: ,anu6acturer: )rade "ame: Pa7e:

Description: Article2Para7raph:

Address:

Phone: ,odel "o+:

Attached data includes product description, speci6ications, dra#in7s, photo7raphs, and per6ormance and test data ade1uate 6or evaluation o6 the re1uest8 applica le portions o6 the data are clearl! identi6ied+ Attached data also includes a description o6 chan7es to the *ontract Documents that the proposed su stitution #ill re1uire 6or its proper installation+ )he 9ndersi7ned certi6ies: Proposed su stitution has een 6ull! investi7ated and determined to e e1ual or superior in all respects to speci6ied product+ 0ame #arrant! #ill e 6urnished 6or proposed su stitution as 6or speci6ied product+ 0ame maintenance service and source o6 replacement parts, as applica le, is availa le+ Proposed su stitution #ill have no adverse e66ect on other trades and #ill not a66ect or dela! pro7ress schedule+ Proposed su stitution does not a66ect dimensions and 6unctional clearances+ Pa!ment #ill e made 6or chan7es to uildin7 desi7n, includin7 A23 desi7n, detailin7, and construction costs caused su stitution+ 0u mitted !: 0i7ned !: Firm: Address: )elephone:

! the

A23:s R3;<3W A"D A*)<O" 0u 0u 0u 0u stitution approved 5 ,a%e su mittals in accordance #ith 0peci6ication 0ection '1(('+ stitution approved as noted 5 ,a%e su mittals in accordance #ith 0peci6ication 0ection '1(('+ stitution rejected 5 9se speci6ied materials+ stitution Re1uest received too late 5 9se speci6ied materials+ Date:

0i7ned !:

0upportin7 Data Attached:

Dra#in7s

Product Data

0amples

)ests

Reports

= *op!ri7ht 144>, *onstruction 0peci6ications <nstitute, 44 *anal *enter Pla?a, 0uite ('' Ale@andria, ;A &&(14

''&>''+1 5 1

0eptem er 144> *0< Form 1+-*