Substitution Request Form Power Transfers

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SUBSTITUTION REQUEST FORM

of changes to the Contract Documents that the proposed substitution will require for its' proper installation.
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 the other trades and will not affect or delay progress schedule.
• Proposed substitution does not affect dimensions and functional clearances.
Substitution Request Number: From:
To: Date:
A/E Project Number:
Re: Contract For:
Specification Title: Description:
Section:Page: Article/Paragraph:
Proposed Substitution: ABH POWER TRANSFERS
Manufacturer: ABH MANUFACTURING Address: 1222 Ardmore Ave, Itasca, IL Phone: 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
• 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:
 Substitution approved as noted – Make submittals in accordance with Specification Section 01 25 00 Substitution Procedures.
Signed by: Date:
A/E's REVIEW AND ACTION
 Substitution approved – 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.
Supporting Data Attached:  Drawings  Product Date  Samples  Tests Reports 