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© Copyright 2013, CSI, <br />110 S. Union St., Suite 100, Alexandria, VA 22314 <br />Page ___ of ___ Form Version: September 2013 <br />CSI Form 13.1A <br />SUBSTITUTION <br />REQUEST <br />(After the Bidding/Negotiating Phase) <br />Project: <br />To: <br />Re: <br />Substitution Request Number: <br />From: <br />Date: <br />A/E Project Number: <br />Contract For: <br />Specification Title: <br />Section: Page: <br />Description: <br />Article/Paragraph: <br />Proposed Substitution: <br />Manufacturer: Address: Phone: <br />Trade Name: Model No.: <br />Installer: Address: Phone: <br />History: ☐ New product ☐ 1-4 years old ☐X 5-10 years old ☐ More than 10 years <br />old Differences between proposed substitution and specified product: <br />☐Point-by-point comparative data attached — REQUIRED BY A/E <br />Reason for not providing specified item: <br />Similar Installation: <br />Project: Architect: <br />Address: Owner: <br />Date Installed: <br /> <br />Proposed substitution affects other parts of Work: ☐X No ☐ Yes; explain <br />($ ). Savings to Owner for accepting substitution: <br /> <br />Proposed substitution changes Contract Time: <br />☐XNo <br />☐Yes [Add] [Deduct] days. <br />Supporting Data Attached: ☐Drawings ☐Product Data ☐ Samples ☐Tests ☐Reports ☐ <br />Memorial Park Aquatics Center <br />Horizontal Fall Protection <br />11.81.29 1 1.01.A.1 <br />Guardian Metal Energy Absorber HLL System <br />Guardian Fall 607 E Sam Houston Pasadena TX 77503 800.466.6385 <br />Guardian Fall Protection 15207 <br />Manufacturer <br />City of Wilsonville: SMART Facilitys <br />288979 Southwest Boberg Road <br />Wilsonville OR 97070 <br />City of Wilsonville <br />June 2024 <br />Pivot Architecture