Substitution Request Form Electromagnetic Holders

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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 2000 SE RIES ELECTRO-MAGNETIC DOOR HOLDERS
Manufacturer:ABH MANUFACTUI RING_Address: _1222 Ardmore Ave, Itasca, ILPhone: _630-875-9900
Trade Name: Model No.:
Attached data includes product description, specifications, drawings, photographs and performance and test data adequate for evaluation of the request; applicable potions of the data are clearly identified.
Attached data also includes a description of changes to the Contract Documents that the proposed substitution will require for its' proper installation.
  • Same maintenance service and source of replacement parts, as applicable, is available.
  • Proposed substitution will have no adverse effect on the other trades and will not affect or delay progress schedule.
  • Proposed substitution does not affect dimensions and functional clearances.
  • Payment will be made for changes to 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
☐ 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 mate rials.
☐ Substitution Request received too late – U se specified materials.
Signed by: Date:
Supporting Data Attached: □ Drawings □ Product Date □ Samples □ Tests □ Reports □
©Copyright 2004, Construction Specifications Inst itute June 2004