Substitution Request 6600 Series Hospital Latches

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SUBSTITUTION REQUEST

Project: Substitution Request Number:
From:
To: Date:
A/E Project Number:
Contract For:
Specification Title: Description:
Section:Page: Article/Paragraph:
Proposed Substitution:ABH 6600/69 600 SERIES HOSPITAL PUSH/PULL W/MORTISE LOCK
• RING_Address: _1222 Ardmore Ave, Itasca, ILPhone: _630-875-9900
Model No.:
Attached data includes product description, specifi applicable potions of the data are clearly identified ications, drawings, photographs and performance and test data adequate for evaluation of the request; I.
The Undersigned certifies: es to the Contract Documents that the proposed substitution will require for its' proper installation.
  • Same warranty will be furnished:
  • Same maintenance service and so
  • Proposed substitution will have no
  • Proposed substitution does not affect.
o adverse effect on the other trades and will not affect or delay progress schedule. feet dimensions and functional clearances. sto building design, including A/E design, detailing and constructions costs caused by the substitution.
Submitted by:
Signed by:
Firm:
Address:
Telephone:
A/E's REVIEW AND ACTION
\ \ \square \ 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.
\ \square Substitution rejected – Use specified mate erials.
\Box Substitution Request received too late – U Jse specified materials.
Signed by: Date:
Supporting Data Attached: □ Drawings □ Product Date □ Samples □ Tests □ Reports □
©Copyright 2004, Construction Specifications Ins titute June 2004