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CITY OF EVERETT PUBLIC WORKS <br /> SPECIAL PROVISIONS <br /> SUBSTITUTION REQUEST FORM <br /> SPECIFIED ITEM: <br /> Section Paragraph Specified Item <br /> PROPOSED SUBSTITUTION: <br /> I hereby certify: <br /> A. I have personally investigated proposed product and, in my opinion, it is equal or superior in all <br /> respects to that specified. <br /> B. I will coordinate installation of accepted substitution and guarantee to complete it in all respects. <br /> C. The product carries same warranty as specified product. <br /> D. I will pay for changes to the design, including engineering and detailing costs caused by the <br /> requested substitution. <br /> E. I will pay additional costs related to substitution that become apparent as a consequence of this <br /> substitution. <br /> F. The proposed substitution has no adverse affect on other trades, other contracts, construction <br /> schedule. <br /> G. Maintenance and service parts will be locally available for the proposed substitution. <br /> H. My cost impact figures are complete and include related costs under the Contract, but exclude <br /> costs under separate contracts, if applicable. <br /> I. I waive claims for additional costs related to the substitution that subsequently become apparent. <br /> Attached are submittals supporting this request; and cost savings offered, if applicable. <br /> SIGNATURE TITLE <br /> CONTRACTOR DATE <br /> ADDRESS TELEPHONE <br /> FOR USE BY OWNER'S REPRESENTATIVE: <br /> ACCEPTED ACCEPTED AS NOTED NOT ACCEPTED <br /> REMARKS: <br /> END OF SUBSTITUTION REQUEST FORM <br /> WFP Operations Building Seismic Retrofit-Rebid January 6, 2017 <br /> WO#UP3600 012513 -3 <br />