Prior Approval / Substitution Request Form

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PRIOR APPROVAL / SUBSTITUTION REQUEST FORM
Date:
Company Submitting Request
:
(Name and Address)
Contact Name:
Phone:
Fax:
E-Mail:
PROJECT NAME:
SPECIFIED ITEM:
(Section)
(Page)
(Description)
The undersigned requests consideration of the following product substitution:
PROPOSED SUBSTITUTION:
Provide Product Name / Model /Manufacturer
1. Attached data includes:
Product Description
Performance and Test Data
Drawings
Specifications
Photographs
2.
Yes / No changes will be required to the Contract Documents for the proper installation of proposed
product substitution. If yes, then attach data that includes description of changes.
The undersigned states that the following paragraphs, unless modified by attachments, are correct:
1. The proposed substitution does not affect dimensions shown on the drawings.
2. No changes to the building design, engineering design, or detailing are required by the proposed substitution.
3. The proposed substitution will have no adverse effect on other trades, the construction schedule, or specified
warranty requirements.
4. No maintenance is required by the proposed substitution other than that required for originally specified
product.
5. Other Information
The undersigned further states that they have read the corresponding specification section in the project
manual and confirms that the function, appearance and quality of the proposed substitution are equivalent
or superior to the originally specified product._________initial.
Signature:
Printed Name:
Fax Number:
For Architect’s Use:
Accepted
Accepted As Noted
Incomplete Information
Not Accepted
Received Too Late
No Substitutions Accepted For This
Product
Reviewed By / Date:
Processed by Addendum No.
Comments:

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