Substitution Request Pivots

SUBSTITUTION REQUEST FORM

		Project:
		Substitution Request Number: From:
		To: Date:
		A/E Project Number:
		Re: Contract For:
		Specification Title: Description:
		Section:Page: Article/Paragraph:
		Proposed Substitution: ABH PIVOTS AND PIVOT SETS
		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 of changes to the Contract Documents that the proposed substitution will require for its' proper installation.
The Undersigned Certifies:	• 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 does not affect dimensions and functional clearances.	• Proposed substitution has been fully investigated and determined to be equal or superior in all respects to specified product. • Proposed substitution will have no adverse effect on the other trades and will not affect or delay progress schedule. • 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 rejected – Use specified materials.	 Substitution Request received too late – Use specified materials.	 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. Signed by: Date:
		Supporting Data Attached:  Drawings  Product Date  Samples  Tests Reports 