Public Works and Government Services Canada
Symbol of the Government of Canada

Common menu bar links

Annex E2: Request for Product Substitution/Price Revision Form-Tier 1 (Enterprise) & Tier 2 (Mid-Range) storage products

Request for Product Substitution Form (Excel - 22K) For Offerors Use Only

Company:________________

Date of request:________________

Page ___ of ____ Email to NMSO contracting authority

[] SUBSTITUTION ONLY

[] SUBSTITUTION WITH PRICE INCREASE

[] PRICE DECREASE ONLY

[] AMENDMENT(ORIGINAL DATED ____________)

[] ORIGINAL

NMSO No. E60EJ-11000S/___/EJ

CURRENT PRODUCT/MODEL

Group Configuration Product/Model OEM Part/Model # Bidder's Part # Ceiling Price Price Revision or Nature of Change
  DEFAULT          
             
             
             
             
             
             
             
             
  STORAGE UPGRADES          
             
             
             
             
             
             
  STORAGE COMPONENTS          
             
             
             
             
  UNEVALUATED OPTIONS          
             
  OVERALL TOTAL Ceiling Price (provide if entirely new system is being substituted) Total Price (provide if entirely new system is being substituted) ------>  

NEW PRODUCT/MODEL

Product/Model OEM Part/Model # Bidder's Part # New Unit Selling Price LIST price URL for Specifications
  DEFAULT        
           
           
           
           
           
           
           
           
  STORAGE UPGRADES        
           
           
           
           
           
           
  STORAGE COMPONENTS        
           
           
           
           
  UNEVALUATED OPTIONS        
           
Total Price (provide if entirely new system is being substituted) ------>    

Offeror Representative: ________________

Substitution Co-ordinator: _________________

Technical Approval: _________________