SUBSTITUTION REQUEST FORM   CORE-FILL 500(TM) Foam Insulation


To:             _____________________________________________
	
Project Name:   _____________________________________________

Specified Item:	_______    ____     _________________________
                Section    Page     Description 

The undersigned requests consideration of the following 
product substitution:

PROPOSED SUBSTITUTION: 	  
   Core-Fill 500(TM) Thermal & Acoustical Foam Insulation  

        [ ] Attached data includes: 
	[ ] Product Description
        [ ] Performance and Test Data 				
        [ ] Drawings
        [ ] Specifications
	[ ] Photographs

[ ] No changes will be required to the Contract Documents for 
    its proper installation 

[ ] Attached Data includes description of changes to the 
    Contract Documents that the substitution will require for 
    its proper installation

			
The undersigned states that the following paragraphs, unless 
modified by attachments, are correct:

    1.  The proposed substitution does not affect dimensions 
        shown on the drawings.

    2.	No changes to the building design, engineering design, 
        or detailing are required by the proposed 
        substitution.

    3.	The proposed substitution will have no adverse affect 
        on other trades, the construction schedule, or 
        specified warranty requirements.

    4.  No maintenance is required by the proposed 
        substitution.

The undersigned further states that the function, appearance, 
and quality of the proposed substitution are equivalent or 
superior to the specified item.

Submitted by: _________________________			

Signature:    _________________________			

Company:      _________________________			
		
Address:      _________________________

              _________________________

Date:	      _________________________

Phone:	      _________________________										
Fax:	      _________________________	

*****************************************

For use by Architect/Project Engineer:			

	[ ] Approved	    [ ] Approved as noted

        [ ] Not Approved    [ ] Received too late

        By:      ______________________________

        Date:    ______________________________

        Remarks: ______________________________

                 ______________________________

                 ______________________________