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I <br /> City of Everett 00 63 25- 1 <br /> Inductive Charging Infrastructure for FverPtt Transit <br /> SECTION 00 63 25 -SUBSTITUTION REQUEST FORM <br /> PROJECT: Eclipse Mill Park Inductive Charging Infrastructure for Everett Transit <br /> REQUEST NO.: <br /> CONTRACTOR: DATE: <br /> We hereby submit for consideration, following product instead of specified item for <br /> above project: <br /> Section Specified Item <br /> I <br /> Proposed Substitution <br /> Attach complete technical data, including laboratory tests, and samples, as applicable. <br /> Attach detailed comparison of the significant qualities (size, weight, durability, <br /> performance and similar characteristics, and including visual effect where applicable) for <br /> the proposed substitution in comparison with the original requirements. <br /> List complete installation changes and changes to Drawings and Specifications required <br /> by proposal. <br /> Fill in Blanks Below: <br /> A. Does substitution require change in Drawing dimensions? <br /> B. Will Undersigned payfor resultingbuildingdesign changes includingengineering <br /> 9 9 9 9 9 <br /> and detailing costs? <br /> C. What effect does substitution have on other trades? <br /> D. Differences between proposed substitution and specified item? <br /> E. Manufacturer's guarantees of proposed and specified items are: <br /> Same Different (Explain on attachment) <br /> F. Name and address of three (3) similar projects on which product was used, and <br /> date of installation <br /> I <br /> G. Contract completion date is: Same Different (Explain on attachment). <br /> 00 63 25 - 1 SUBSTITUTION REQUEST FORM <br /> I <br />