Addendum #3 August 25, 2020

Page 1

P.O. Box 2420 (phone) 307.632.3144 Cheyenne, WY 82003 www.tobin-assoc.com (fax) 307.632.6645

project number 19-16 project name Hulett Clinic

contact person Will Wedemeyer, Josh Schmidt, Zandria Tolliver ADDENDUM NO. #3 – August 25, 2020 NOTE: RECEIPT OF THIS ADDENDUM MUST BE ACKNOWLEDGED IN THE SPACE

PROVIDED ON THE INVITATION FOR BID FORM. The following revisions have been made to the specifications and contract documents, and drawings for the above referenced project dated August 7, 2019. Addenda items take precedence over the drawings, specifications and contract documents. Summary of Sections A. Project Questions B. Drawings C. Specifications D. Clarifications E. Substitution Requests Additional Attachments

- Specifications: o 08 7101 – Door Hardware Schedule and Door Index

- Substitution Requests o SR-3: Lighting, SR-4: Lighting, SR-5: Lighting, SR-6: Manufactured Stone, SR-7:

Door Closer, SR-8: Door Cylinder, SR-9: Door Exits, SR-10: Door Mortise, SR-11: Metal Roof Panels, SR-12: Bituminous Damp Proofing, SR-14 Ceiling, SR-15: Tile Underlayment, SR-18:Manufactured Stone, SR-19: Manufactured Stone

A. PROJECT QUESTIONS

1. Although hardware will be provided by others (087100), groups AL01 – AL03 reference only Manual Surface Closers. Typically in these facilities, Automatic Door Operators and Accessories are required at main entrances. Please verify these are not required. There will be automatic door operators for Doors 01, 01A and 28. See updated

08 7101 – Door Hardware Schedule attached.

2. Are there any other metal roofing products besides WP Hickman that have been accepted? Yes, see substitution requests.

3. Would you like to use standard grout or epoxy grout for the ceramic tile for this project? I

have attached the tile specification and highlighted some applicable parts. Epoxy grout for restrooms and wet areas. The standard grout would be used for

any other areas with tile, but we do not have any in this project.

4. I see in the bid form we are required to fill out Section 00 4336 – Proposed subcontractor form. On the bid form it states to include all subcontractors and the portions of the work they will perform. The form also includes a blank for the bid amount for each

Addendum #3 August 25, 2020

Page 2

P.O. Box 2420 (phone) 307.632.3144 Cheyenne, WY 82003 www.tobin-assoc.com (fax) 307.632.6645

subcontractor. Is this required to be provided at time of bid or can this be provided after award?

Yes, this is required to be provided at time of bid.

5. Addenda 1 stated that the bid opening will not be public. Will the bid results be provided to general contractors after the bid opening? If not in person by GO-To-Meeting or Microsoft Teams?

To be determined at this time.

6. In addendum #2 question #9- What is the finish color for the Aluminum Storefront and Windows, was answered “Class 1, Natural Anodized. Class 1, Natural Anodized is how its finished but not a color. The color for example would be clear, dark bronze, black… This does make a difference in the pricing. Please let me know.

Clear

7. Please confirm that a fire suppression system is not required for this building. I do not see it listed in the drawings.

Fire suppression system is not required at this time B. DRAWINGS

1. ADA door operator added to Door 01A, added keynote 201

2. Update General Notes: “ALL WINDOWS TO RECEIVE WINDOW BLINDS, REFER TO

SPECIFICATIONS” to “ALL WINDOWS TO RECEIVE WINDOW BLINDS EXCEPT WN-

3, WN-4, WN-5, WN-6, WN-7, WN-8, WN-9, WN-11, REFER TO SPECIFICATIONS”

C. SPECIFICATIONS

1. Update 08 7101 – Door Hardware Schedule and Index, see attached

D. CLARIFICATIONS

1. Electrical: Type W fixture to be provided with “E1” arm and 10W output. E. SUBSTITUTION REQUESTS The following substitutions have been approved, see attached:

1. SR-3: Lighting - Lumen FX Alternate fixture submittal package is conditionally approved per the following: Upon

award of contract, photometric calculations of interior and exterior areas are to be provided to verify lighting levels meet or exceed those of the specified luminaires.

2. SR-4: Lighting - Wyoming Lighting Alternate fixture submittal package is conditionally approved per the following: Upon

award of contract, photometric calculations of interior and exterior areas are to be provided to verify lighting levels meet or exceed those of the specified luminaires.

3. SR-5: Lighting - Northern Rockies Agency

Addendum #3 August 25, 2020

Page 3

P.O. Box 2420 (phone) 307.632.3144 Cheyenne, WY 82003 www.tobin-assoc.com (fax) 307.632.6645

Alternate fixture and controls submittal package is conditionally approved per the following: Upon award of contract, photometric calculations of interior and exterior areas are to be provided to verify lighting levels meet or exceed those of the specified luminaires.

4. SR-6: Manufactured Stone - Cultured Stone Alternate manufactured stone veneer is conditionally approved per the following:

Upon award of contract, stone veneer samples must be provided to match specified color, type and shape.

5. SR-7: Door Closer - Stanley 6. SR-8: Door Cylinder - Stanley 7. SR-9: Door Exits - Stanley 8. SR-10: Door Mortise - Stanley 9. SR-11: Metal Roof Panels – PAC-CLAD 10. SR-12: Bituminous Damp Proofing 11. SR-13: Lighting – Illumination Systems

WITH THE EXCEPTION OF TYPE A FIXTURE, WHICH IS NOT APPROVED, The alternate fixture and controls submittal package is conditionally approved per the following: Upon award of contract, photometric calculations of interior and exterior areas are to be provided to verify lighting levels meet or exceed those of the specified luminaires.

12. SR-14 Ceiling - USG 13. SR-15: Tile Underlayment - Schluter 14. SR-18: Manufactured Stone – Cassa Di Sassi

Alternate manufactured stone veneer is conditionally approved per the following: Upon award of contract, stone veneer samples must be provided to match specified color, type and shape.

15. SR-19: Manufactured Stone – Dutch Quality Alternate manufactured stone veneer is conditionally approved per the following:

Upon award of contract, stone veneer samples must be provided to match specified color, type and shape.

END OF ADDENDUM #3

Hulett Clinic 087100-1 Finish Hardware

SECTION 08 7101

DOOR HARDWARE SCHEDULE HARDWARE GROUP NO. 01 For use on Door #(s): 02 32 34 36

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1 4.5 X 4.5 652 IVE 1 EA ENTRY LOCK T501BDC DAN 626 FAL 1 EA SFIC CORE C606 626 FAL 1 EA SURFACE CLOSER SC71A REG 689 FAL 1 EA KICK PLATE 8400 10" X 2" LDW B-CS 630 IVE 1 EA WALL STOP WS406/407CCV 630 IVE 1 EA GASKETING 488SBK PSA BK ZER HARDWARE GROUP NO. 02 For use on Door #(s): 06A 08 12 35

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1 4.5 X 4.5 652 IVE 1 EA PRIVACY LOCK T301S DAN 626 FAL 1 EA WALL STOP WS406/407CCV 630 IVE 1 EA GASKETING 488SBK PSA BK ZER HARDWARE GROUP NO. 03 For use on Door #(s): 02A

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1 4.5 X 4.5 NRP 652 IVE 1 EA FIRE EXIT HARDWARE F-25-R-L-DANE 626 FAL 1 EA MORTISE CYLINDER C987 626 FAL 1 EA SFIC CORE C606 626 FAL 1 EA SURFACE CLOSER SC71A HDPA 689 FAL 1 EA KICK PLATE 8400 10" X 2" LDW B-CS 630 IVE 1 EA WALL STOP WS406/407CCV 630 IVE 1 EA GASKETING 488SBK PSA BK ZER HARDWARE GROUP NO. 04 For use on Door #(s): 05

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1 4.5 X 4.5 NRP 652 IVE 1 EA STOREROOM LOCK T581BDC DAN 626 FAL 1 EA SFIC CORE C606 626 FAL 1 EA SURFACE CLOSER SC81A DS FC 689 FAL 1 EA KICK PLATE 8400 10" X 2" LDW B-CS 630 IVE 3 EA SILENCER SR64 GRY IVE

Hulett Clinic 087100-2 Finish Hardware

HARDWARE GROUP NO. 05 For use on Door #(s): 06 17 18 21

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1 4.5 X 4.5 652 IVE 1 EA PASSAGE SET T101 DAN 626 FAL 1 EA WALL STOP WS406/407CCV 630 IVE 3 EA SILENCER SR64 GRY IVE HARDWARE GROUP NO. 06 For use on Door #(s): 06B 07 09 13 14

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1 4.5 X 4.5 652 IVE 1 EA STOREROOM LOCK T581BDC DAN 626 FAL 1 EA SFIC CORE C606 626 FAL 1 EA SURFACE CLOSER SC81A REG FC 689 FAL 1 EA KICK PLATE 8400 10" X 2" LDW B-CS 630 IVE 1 EA WALL STOP WS406/407CCV 630 IVE 3 EA SILENCER SR64 GRY IVE HARDWARE GROUP NO. 07 For use on Door #(s): 15 24 25

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1 4.5 X 4.5 652 IVE 1 EA ENTRY LOCK T501BDC DAN 626 FAL 1 EA SFIC CORE C606 626 FAL 1 EA WALL STOP WS406/407CCV 630 IVE 3 EA SILENCER SR64 GRY IVE HARDWARE GROUP NO. 08 For use on Door #(s): 10 11 23

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1 4.5 X 4.5 652 IVE 1 EA PASSAGE SET T101 DAN 626 FAL 1 EA SURFACE CLOSER SC81A REG FC 689 FAL 1 EA KICK PLATE 8400 10" X 2" LDW B-CS 630 IVE 1 EA WALL STOP WS406/407CCV 630 IVE 3 EA SILENCER SR64 GRY IVE HARDWARE GROUP NO. 09 For use on Door #(s): 27

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1HW 5 X 4.5 652 IVE 1 EA PASSAGE SET T101 9 DAN 626 FAL 1 EA WALL STOP WS406/407CCV 630 IVE 3 EA SILENCER SR64 GRY IVE

Hulett Clinic 087100-3 Finish Hardware

HARDWARE GROUP NO. 10 For use on Door #(s): 29

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1 4.5 X 4.5 652 IVE 1 EA STOREROOM LOCK T581BDC DAN 626 FAL 1 EA SFIC CORE C606 626 FAL 1 EA SURFACE CLOSER SC81A REG FC 689 FAL 1 EA KICK PLATE 8400 10" X 2" LDW B-CS 630 IVE 1 EA WALL STOP WS406/407CCV 630 IVE 1 EA GASKETING 488SBK PSA BK ZER HARDWARE GROUP NO. 11 For use on Door #(s): 30 31

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1 4.5 X 4.5 652 IVE 1 EA PRIVACY LOCK T301S DAN 626 FAL 1 EA SURFACE CLOSER SC81A REG FC 689 FAL 1 EA KICK PLATE 8400 10" X 2" LDW B-CS 630 IVE 1 EA WALL STOP WS406/407CCV 630 IVE 1 EA GASKETING 488SBK PSA BK ZER HARDWARE GROUP NO. 12 For use on Door #(s): 19 20 22 26

Provide each SGL door(s) with the following: 3 EA HINGE 5BB1HW 5 X 4.5 652 IVE 1 EA PASSAGE SET T101 DAN 626 FAL 1 EA WALL STOP WS406/407CCV 630 IVE 3 EA SILENCER SR64 GRY IVE HARDWARE GROUP NO. AL01 For use on Door #(s): 03

Provide each PR door(s) with the following: 2 EA CONT. HINGE 112HD 628 IVE 1 EA PANIC HARDWARE 25-C-C-718 626 FAL 1 EA PANIC HARDWARE 25-C-EO 626 FAL 1 EA MORTISE CYLINDER C987 626 FAL 1 EA SFIC CORE C606 626 FAL 2 EA 90 DEG OFFSET PULL 8190HD 10" STD 630 IVE 2 EA SURFACE CLOSER SC71A SS 689 FAL 2 EA TOP RAIL DROP PLATE SC70-18PA 689 FAL 2 EA CUSH SHOE SUPPORT SC70-30 689 FAL 2 EA BLADE STOP SPACER SC70-61 689 FAL 2 EA DOOR SWEEP 39A A ZER 1 EA THRESHOLD 8655A A ZER 2 EA DOOR CONTACT BY SECURITY CONTRACTOR 628 SCE 1 SEALS BY DOOR / FRAME

MANUFACTURER

Hulett Clinic 087100-4 Finish Hardware

HARDWARE GROUP NO. AL02 For use on Door #(s): 03A

Provide each PR door(s) with the following: 2 EA CONT. HINGE 112HD 628 IVE 2 EA PUSH/PULL BAR 9190HD-10" 630 IVE 2 EA SURFACE CLOSER SC71A HDPA 689 FAL 2 EA TOP RAIL DROP PLATE SC70-18PA 689 FAL 2 EA CUSH SHOE SUPPORT SC70-30 689 FAL 2 EA BLADE STOP SPACER SC70-61 689 FAL 2 EA WALL STOP WS406/407CCV 630 IVE 1 SEALS BY DOOR / FRAME

MANUFACTURER

HARDWARE GROUP NO. AL03 For use on Door #(s): 04

Provide each SGL door(s) with the following: 1 EA CONT. HINGE 112HD 628 IVE 1 EA PUSH/PULL BAR 9190HD-10" 630 IVE 1 EA SURFACE CLOSER SC81A REG FC 689 FAL 1 EA WALL STOP WS406/407CCV 630 IVE 1 SEALS BY DOOR / FRAME

MANUFACTURER

Hardware Group No. AL04 For use on Door #(s): 01 28

Provide each PR door(s) with the following: QTY DESCRIPTION CATALOG NUMBER ITEMID FINISH MFR 2 EA CONT. HINGE 112HD 628 IVE 1 EA PANIC HARDWARE 25-C-C-718 626 FAL 1 EA PANIC HARDWARE 25-C-EO 626 FAL 1 EA MORTISE CYLINDER C987 626 FAL 1 EA SFIC CORE C606 626 FAL 2 EA 90 DEG OFFSET PULL 8190HD 10" STD 630 IVE 2 EA SURF. AUTO OPERATOR 4642 TBWMS 120 VAC 689 LCN 2 EA ACTUATOR PKG WALL MT 8310-3857T 630 LCN 2 EA DOOR SWEEP 39A A ZER 1 EA THRESHOLD 8655A A ZER 1 EA KEY SWITCH 653-04 630 SCE 2 EA DOOR CONTACT BY SECURITY CONTRACTOR 628 SCE 1 SEALS BY DOOR / FRAME

MANUFACTURER

ADA OPERATOR OUTSIDE PUSH BUTTON ONLY ACTIVE WHILE PANIC DEVICE IS DOGGED DOWN. KEY SWITCH TO DEACTIVATE OUTSIDE PUSH BUTTON. INSIDE PUSH BUTTON ALWAYS ACTIVE.

Hulett Clinic 087100-5 Finish Hardware

Hardware Group No. AL05 For use on Door #(s): 01A

Provide each PR door(s) with the following: QTY DESCRIPTION CATALOG NUMBER ITEMID FINISH MFR 2 EA CONT. HINGE 112HD 628 IVE 2 EA PUSH/PULL BAR 9190HD-10" 630 IVE 2 EA SURF. AUTO OPERATOR 4642 TBWMS 120 VAC 689 LCN 2 EA ACTUATOR PKG WALL MT 8310-3857T 630 LCN 2 EA WALL STOP WS406/407CCV 630 IVE 1 SEALS BY DOOR / FRAME

MANUFACTURER

END OF SECTION

Hulett Clinic DOOR HARDWARE INDEX

Hulett Clinic 08/25/2020 1

Door Numbers

HwSet#

01 AL04 01A AL05 02 01 02A 03 03 AL01 03A AL02 04 AL03 05 04 06 05 06A 02 06B 06 07 06 08 02 09 06 10 08 11 08 12 02 13 06 14 06 15 07 17 05 18 05 19 12 20 12 21 05 22 12 23 08 24 07 25 07 26 12 27 09 28 AL04 29 10 30 11 31 11 32 01 34 01 35 02 36 01

SECTION 00 43 25 SUBSTITUTION REQUEST FORM

Page 1 of 2 SECTION 00 43 25 – SUBSTITUTION REQUEST FORM (During Procurement) Project: _____________________________________________________________________

PC-_________________________ Substitution Deadline: _________________________ This Product Substitution Request Form must be submitted with all substitution requests. A substitution request must be received at the architect’s office at least ten (10) days prior to the bid opening, or the request will not be considered.

Company Name: _________________________________________________________

Address: ______________________________________________________________

Telephone Number: (_______) _____________Fax Number: (________) _______________

Attention: ______________________________________________________________

Product Specified: ________________________________________________________

Specification Section: _________________ Specification Number: ___________________

Proposed Product Substitution: ______________________________________________ Please attach information to the form and mark pages and items to be considered. Product Analysis:

Specified

Proposed Substitution

For Architect’s Use Only

The proposed substitutions Is Approved

Not Approved

Date received: _____________________ Remarks:

______________________________________________________________________________________________________________________________________

Reviewed by: ______________________ Date: _______________________________

Hulett Medical Center

Lumen FX

219 N. Broadway, Billings, MT

406 245-7116

Thomas O'Leary

Light Fixture Types B,F - Nulite Regolo Wall Series

LED Interior Lighting 26 5119

Mark Lighting Slot 2 PSW series

Similar product from an alternate manufacturer.

L F X

SECTION 00 43 25 SUBSTITUTION REQUEST FORM

Page 1 of 2 SECTION 00 43 25 – SUBSTITUTION REQUEST FORM (During Procurement) Project: _____________________________________________________________________ PC-_________________________ Substitution Deadline: _________________________ This Product Substitution Request Form must be submitted with all substitution requests. A substitution request must be received at the architect’s office at least ten (10) days prior to the bid opening, or the request will not be considered. Company Name: _________________________________________________________ Address: ______________________________________________________________ Telephone Number: (_______) _____________Fax Number: (________) _______________ Attention: ______________________________________________________________ Product Specified: ________________________________________________________ Specification Section: _________________ Specification Number: ___________________ Proposed Product Substitution: ______________________________________________ Please attach information to the form and mark pages and items to be considered. Product Analysis:

Specified

Proposed Substitution

For Architect’s Use Only

The proposed substitutions Is � Approved � Not Approved

Date received: _____________________ Remarks: ______________________________________________________________________________________________________________________________________ Reviewed by: ______________________ Date: _______________________________

Hulett Medical Clinic - Hulett, WY

Wyoming Lighting Associates

130 South Lincoln, Casper, WY 82601

307 237-0693 307 577-1931

Mary Sanders

Interior and Exterior Lighting Fixtures

Interior & Exterior Lighting 26 5119 & 26 5619

See accompanying letter and submittals

Lighting Fixtures per Luminaire Schedule, Sheet E501 See accompanying letter and submittals

SECTION 00 43 25SUBSTITUTION REQUEST FORM

Page 1 of 2

SECTION 00 43 25 - SUBSTITUTION REQUEST FORM (During Procurement)

Project:

PC- Substitution Deadline:

This Product Substitution Request Form must be submitted with all substitution requests. Asubstitution request must be received at the architect's office at least ten (10) days prior to thebid opening, or the request will not be considered.

Company Name:

Address:

Telephone Number: ( ) Fax Number: ( )

Attention:

Product Specified:

Specification Section: Specification Number:

Proposed Product Substitution:

Please attach information to the form and mark pages and items to be considered.

Product Analysis:

Specified Proposed Substitution

For Architect's Use Only

The proposed substitutions Is

Date received:

Remarks:

Approved Not Approved

Reviewed by: Date:

SECTION 00 43 25SUBSTITUTION REQUEST FORM

Page 1 of 2

SECTION 00 43 25 - SUBSTITUTION REQUEST FORM (During Procurement)

Project:

PC- Substitution Deadline:

This Product Substitution Request Form must be submitted with all substitution requests. Asubstitution request must be received at the architect's office at least ten (10) days prior to thebid opening, or the request will not be considered.

Company Name:

Address:

Telephone Number: ( ) Fax Number: ( )

Attention:

Product Specified:

Specification Section: Specification Number:

Proposed Product Substitution:

Please attach information to the form and mark pages and items to be considered.

Product Analysis:

Specified Proposed Substitution

For Architect's Use Only

The proposed substitutions Is

Date received:

Remarks:

Approved Not Approved

Reviewed by: Date:

SECTION 00 43 25SUBSTITUTION REQUEST FORM

Page 1 of 2

SECTION 00 43 25 - SUBSTITUTION REQUEST FORM (During Procurement)

Project:

PC- Substitution Deadline:

This Product Substitution Request Form must be submitted with all substitution requests. Asubstitution request must be received at the architect's office at least ten (10) days prior to thebid opening, or the request will not be considered.

Company Name:

Address:

Telephone Number: ( ) Fax Number: ( )

Attention:

Product Specified:

Specification Section: Specification Number:

Proposed Product Substitution:

Please attach information to the form and mark pages and items to be considered.

Product Analysis:

Specified Proposed Substitution

For Architect's Use Only

The proposed substitutions Is

Date received:

Remarks:

Approved Not Approved

Reviewed by: Date:

SECTION 00 43 25SUBSTITUTION REQUEST FORM

Page 1 of 2

SECTION 00 43 25 - SUBSTITUTION REQUEST FORM (During Procurement)

Project:

PC- Substitution Deadline:

This Product Substitution Request Form must be submitted with all substitution requests. Asubstitution request must be received at the architect's office at least ten (10) days prior to thebid opening, or the request will not be considered.

Company Name:

Address:

Telephone Number: ( ) Fax Number: ( )

Attention:

Product Specified:

Specification Section: Specification Number:

Proposed Product Substitution:

Please attach information to the form and mark pages and items to be considered.

Product Analysis:

Specified Proposed Substitution

For Architect's Use Only

The proposed substitutions Is

Date received:

Remarks:

Approved Not Approved

Reviewed by: Date:

SECTION 00 43 25 SUBSTITUTION REQUEST FORM

Page 1 of 2 SECTION 00 43 25 – SUBSTITUTION REQUEST FORM (During Procurement) Project: _____________________________________________________________________

PC-_________________________ Substitution Deadline: _________________________ This Product Substitution Request Form must be submitted with all substitution requests. A substitution request must be received at the architect’s office at least ten (10) days prior to the bid opening, or the request will not be considered.

Company Name: _________________________________________________________

Address: ______________________________________________________________

Telephone Number: (_______) _____________Fax Number: (________) _______________

Attention: ______________________________________________________________

Product Specified: ________________________________________________________

Specification Section: _________________ Specification Number: ___________________

Proposed Product Substitution: ______________________________________________ Please attach information to the form and mark pages and items to be considered. Product Analysis:

Specified

Proposed Substitution

For Architect’s Use Only

The proposed substitutions Is Approved

Not Approved

Date received: _____________________ Remarks:

______________________________________________________________________________________________________________________________________

Reviewed by: ______________________ Date: _______________________________

Aug 21st

------------

Keith Van Ness

801 520-5624

2443 E. Barcelona Dr. Sandy UT 84093

Horner & Associates/Carlisle/PAC-CLAD

Standing Seam / Min 1.5" Rib Height / 26g

Metal Roof Panels

PAC-CLAD Tite Loc Plus / 18" Coverage / 2" Rib Height

Rib Height 2"

26g 24g

07 4113 / 2.01 A.

Rib Height Min 1.5"

20-Year Warranty 20 Year Warranty

Mechanically Seamed / Double Locked Mechanically Seamed / Double Locked

UL-580 Class 90 rated UL-580 Class 90 rated

Hulett Medical Clinic, 131 Red Devel Drive, Hulett, Wyoming

Tobin & Associates

®ESI StJBSTITtJTIONREQUEST

uring the Bidding/NeEotiatin£ Stafet

project \J\i,L\€ti {\^gA \CjaD r\ \nir , SchstindonRapiestNunhaFrom: J S Enterprises LLC

To: `Tob.\n 8 fLS€3cS=C Date:zznddrjL AAIPtojectNuntin

Re: Contract For:

SpeeificationTitle:

g+g::::gfiffiuDEC°2_°AEP7558_°itnIpthAve.pha800-500.ITrade Name: T`ar``7^. ~r` a A. n 7 Model No.:

£`#£?re#est¥pt;niii!::#es#o|:%#fs|stp££itryacngi¥#±°ELggrewdin8Sphct08raphs.andperformanceandtestdafaadequateforevaii]ationofAttached drta also includes a. description of changes to the Contr@ap Documents the the proposed substitqfron will requie for is properinstallation

The Undersigned certifies:• Proposed substitution has been fully investigated and detemined to be equal or superior in all respects to specified product.• Same warranty will be famished for praposed substitution as for specified product.• Sane maintenance service and source ofreplacenent parts, as applical}leJs avaflable.• Proposed substitution will have no adverse effect on other trades and will not affect or delay progress schedule.• Proposed sirbstiuton does not affect dinensious and fimedonal clearances,• Payment will be made for changes to building design, inc]uling AC design, dfailing, and construction Costs caused dy the

substitrfu.

:F=ty-G?#¥LC-,.-,.....-..i_=Address: 2044 Fairview Ave., Casper, WY 82601

Telephone: John cell: 307-267-7420 Carole cell: 307-258-0516

A/E's REVIEW AND ACTION

I SubstitLltion approved - Make stinittals in accordance with Specification Seedon 01 25 00 Substitution Procedus.I Substitution approved as noted -Malre schmittals in accordance with Spedficaton Seedon 0125 00 Substitufron Prooedues.I Substitution rejected - Use specified materials.I Substitution Request received too late - Use specified materials`

Signed by: Date:

Supporting Data Attached: I Ihawings I.Product Data I samples I Tests I Reports I

©copyright2oi3,csl,Ilo South Union SL, Suite loo, Alexandria, VA 22314

Page_of_ Fom Version: January 2013CSI Form I .5C

SECTION 00 43 25 SUBSTITUTION REQUEST FORM

Page 1 of 2

SECTION 00 43 25 – SUBSTITUTION REQUEST FORM (During Procurement)

Project: _____________________________________________________________________

PC-_________________________ Substitution Deadline: _________________________

This Product Substitution Request Form must be submitted with all substitution requests. A substitution request must be received at the architect’s office at least ten (10) days prior to the bid opening, or the request will not be considered.

Company Name: _________________________________________________________

Address: ______________________________________________________________

Telephone Number: (_______) _____________Fax Number: (________) _______________

Attention: ______________________________________________________________

Product Specified: ________________________________________________________

Specification Section: _________________ Specification Number: ___________________

Proposed Product Substitution: ______________________________________________

Please attach information to the form and mark pages and items to be considered.

Product Analysis:

Specified Proposed Substitution

For Architect’s Use Only

The proposed substitutions Is Approved

Not Approved

Date received: _____________________

Remarks:

______________________________________________________________________________________________________________________________________

Reviewed by: ______________________ Date: _______________________________

Hulett Clinic

Illumination Systems

1645 Ave D, Suite K, Billings, MT 59103

303 295-2900

LED Interior Lighting/LED Exterior Lighting

265119/265619

Please see submittals for suggested material