A10. J11_SF1413, Statement & Acknowledgement (Draft).pdf
PDF 647 KB Posted
- Attached to
- San Francisquito Fire Station & Barracks Construction Federal contract opportunity
- Solicitation number
- 12970224R0036
- Issued by
- Department of Agriculture Forest Service
About this file
This document is a Standard Form 1413 (SF 1413), Statement and Acknowledgment, for a federal construction contract. The prime contractor awarded a subcontract on the date shown in Item 2 to the subcontractor identified in Item 5 for the project described in Item 8. The subcontractor acknowledges the inclusion of specific labor standards clauses in the subcontract.
The related federal contract opportunity is for the construction of a new fire station and potentially a new barracks on an existing administrative site for the USDA Forest Service in the Angeles National Forest in California. The solicitation number is 12970224R0036, with a proposed solicitation period from June 21, 2024 to July 26, 2024. The anticipated contract award is a single-award, firm-fixed-price contract with a performance period of approximately 540 calendar days, starting in September 2024. The estimated contract value is more than $10 million, and the procurement is set aside for small businesses. Key details include a pre-proposal conference, site visit, and question submission deadline.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| A10. J6_Decision Memo_SanFrancisquitoFireStn&Barcks (Draft).pdf | ||
| A10. J13_BiobasedStatementLetter (Draft).docx | DOCX document | |
| A10. J10_WD CA20240022, v7, 05242024 (Draft).pdf | ||
| A10. J8_MAP, 12970224R0036 (Draft).pdf | ||
| A10. J12_DesignationofKTRKeyPersonnel-Reps (Draft).doc | DOC document | |
| A10. J16_Reps&Certs_12970224R0036 (Draft).docx | DOCX document | |
| A10. J5. DRAWINGS (Draft).pdf | ||
| A10. J1- DRAFT Sol. TermsB-M, 12970224R0036.pdf | ||
| A10. J2. DRAFT SOI - 12970224R0036.pdf | ||
| A10. J3_DRAFT SPECIFICATIONS, 12970224R0036.pdf | ||
| A10. J5_DRAFT DRAWINGS, 12970224R0036.pdf | ||
| A10. J6_DRAFT Map - San Francisquito Fire Station&Barracks.pdf | ||
| A10. J8_WD CA20240022, v7, 05242024.pdf | ||
| A10. J4_DRAFT SUPP SPECS - Opt 1003_WellSystem.pdf | ||
| A10. J7_Fire Plan, 03012024.pdf |
Show all 15
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
STATEMENT AND ACKNOWLEDGMENT OMB Control Number: 9000-0066 Expiration Date: 5/31/2025
PART I - STATEMENT OF PRIME CONTRACTOR
1. PRIME CONTRACT NUMBER 2. DATE SUBCONTRACT
AWARDED
3. SUBCONTRACT NUMBER
15b. TITLE OF PERSON SIGNING
AUTHORIZED FOR LOCAL REPRODUCTION
PREVIOUS EDITION IS NOT USABLE
STANDARD FORM 1413 (REV. 4/2013)
Prescribed by GSA/FAR (48 CFR) 53.222(e)
4. PRIME CONTRACTOR 5. SUBCONTRACTOR
a. NAME a. NAME
b. STREET ADDRESS b. STREET ADDRESS
c. CITY d. STATE e. ZIP CODE c. CITY d. STATE e. ZIP CODE
6. The prime contract does, does not contain the clause entitled "Contract Work Hours and Safety Standards Act -- Overtime Compensation."
7. The prime contractor states that under the contract shown in Item 1, a subcontract was awarded on the date shown in Item 2 to the subcontractor identified in item 5 by the following firm:
a. NAME OF AWARDING FIRM
b. DESCRIPTION OF WORK BY SUBCONTRACTOR
8. PROJECT 9. LOCATION
10a. NAME OF PERSON SIGNING 11. BY (Signature) 12. DATE SIGNED
10b. TITLE OF PERSON SIGNING
PART II - ACKNOWLEDGMENT OF SUBCONTRACTOR
13. The subcontractor acknowledges that the following clauses of the contract shown in Item 1 are included in this subcontract:
Contract Work Hours and Safety Standards Act - Overtime Compensation (If included in prime contract see Block 6) Payrolls and Basic Records Withholding of Funds Disputes Concerning Labor Standards Compliance with Construction Wage Rate Requirements and Related Regulations
Construction Wage Rate Requirements Apprentices and Trainees Compliance with Copeland Act Requirements Subcontracts (Labor Standards) Contract Termination - Debarment Certification of Eligibility
14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY
A C
B D
15a. NAME OF PERSON SIGNING 16. BY (Signature) 17. DATE SIGNED
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number.
The OMB control number for this collection is 9000-0066. We estimate that it will take .05 hours to read the instructions, gather the facts, and answer the questions. Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.
DRAFT
File details come from the government source that posted it. Updated .