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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 /> Undersigned certifies: <br /> • Proposed substitution has been fully investigated and determined to be equal or superior in all respects to specified <br /> product,except as noted herein. <br /> • Qualifications of manufacturer, installer,and other specified parties meet the specified qualifications. <br /> • Same special warranty will be furnished for proposed substitution as for specified product. <br /> • Same maintenance service and source for replacement parts,as applicable, is available as that specified. <br /> • Proposed substitution does not affect dimensions and functional clearances,except as noted herein. <br /> Submitted by: (Prime Bidder) <br /> Signed: <br /> Firm: <br /> Address: <br /> Telephone: <br /> Fax: <br /> BOOMERANG DESIGN—Office Use Only <br /> 0 Substitution approved- Included in Addendum No. <br /> 0 Substitution approved as noted- Included in Addendum No. <br /> 0 Substitution rejected- Use specified materials. <br /> 0 Substitution Request received too late for review prior to bid- Use specified materials. <br /> By: Date: <br /> END OF DOCUMENT 00 63 25 <br /> ©BOOMERANG DESIGN#1835 00 63 25-2 510 Meadowlands Drive,Hillsborough, NC <br /> ORANGE COUNTY,NC 12/07/2018 <br />