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DocuSign Envelope ID: B94F2D40-3B3C-47A7-86C2-6F1 B4F92C62C <br /> DOCUMENT 00 63 25—BIDDER'S REQUEST FOR SUBSTITUTION FORM <br /> Note to Bidders: Refer to Division 00 Document"Instructions to Bidders"for requirements. This form is for submittal by prime <br /> contractors only. Manufacturers must submit Substitution Requests through a participating prime bidder. <br /> Project: 510 Meadowlands Drive, Orange County Emergency Services Center Boomerang Design Project No. 1835 <br /> To: Boomerang Design Requested by: <br /> 6131 Falls of The Neuse Rd,Ste 204 Contract For: <br /> Raleigh, NC 27609 Bid Date: <br /> Substitution Request Date: <br /> Attn.: Angela Crawford Easterday Section Name: <br /> Email: acrawford()thinkboomerang.com Section Number&Paragraph <br /> Related Drawings: <br /> Specified Prod uct/Fabrication Method <br /> (List name/description; model no.; manufacturer): <br /> Required Information for Specified Product: Attached: <br /> Point by Point Comparative Product Data ❑ <br /> Tests ❑ <br /> Reports ❑ <br /> Fabrication Drawings ❑ <br /> Samples(Where Applicable) ❑ <br /> Proposed Product/Fabrication Method <br /> (List trade name/description; model no.; manufacturer): <br /> Required Information for Proposed Product: Attached: <br /> Point by Point Comparative Product Data ❑ <br /> Tests ❑ <br /> Reports ❑ <br /> Fabrication Drawings ❑ <br /> Samples(Where Applicable) ❑ <br /> List of Related Changes/Modifications: <br /> Differences between proposed substitution and <br /> specified product: <br /> Proposed product/fabrication method <br /> affects other parts of the Work ❑ No ❑Yes: Explain <br /> ©BOOMERANG DESIGN#1835 00 63 25-1 510 Meadowlands Drive,Hillsborough, NC <br /> ORANGE COUNTY,NC 12/07/2018 <br />