Attachment 4 - SF-1413 Statement and Acknowledge of Contractor.pdf

Standard Form PDF 310 KB Posted

Attached to
Amendment 0004: Door Replacement Project at FAA's Denver Air Route Traffic Control Center (ARTCC) located in Longmont, CO
Solicitation number
697DCK-24-R-00450
Issued by

About this file

Written by GovTribe AI ·

This document is the FAA Form 4400-84, Statement and Acknowledgement of Contractor, which is required for a subcontractor to acknowledge the inclusion of certain labor standard clauses in a federal contract.

The key details are:

  • The prime contract number is provided, along with the date the subcontract was awarded and the subcontract number.
  • The prime contractor and subcontractor names and addresses are listed.
  • The prime contractor states that the subcontract does not contain the "Contract Work Hours and Safety Standards Act - Overtime Compensation" clause.
  • The subcontractor acknowledges the inclusion of various labor standard clauses in the subcontract, such as the Davis-Bacon Act, Apprentices and Trainees, and Compliance with Davis-Bacon Regulations.
  • Names of any intermediate subcontractors are provided.
  • Signatures and dates of the prime contractor and subcontractor representatives are included.

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Other versions and copies of SF 1413

569 government files on GovTribe name SF 1413. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File Revision Posted Attached to
B2_DRAFT_08.3_Sec_J_SF1413_exp_05-2027.pdf May 2027 SLAC Job Order Contract
Exhibit F - Statement of Acknowledgment (SF-1413).pdf Revision not stated KAUTZ ROAD SUBSTATION CONSTRUCION, UIP SUBPROJECT 2- KRS
S02_Attachment - SF 1413 updated.pdf Revision not stated Fort Bliss National Cemetery, Gravesite Expansion and FCA Deficiencies
SF-1413_Statement_and_Acknowledgement_Form_(Subcontracting).pdf Revision not stated IE181 - WHS Greenhouse Construction
SF 1413-23A - Statement and Acknowledgment.pdf Revision not stated 70Z03026QCLEV0106 - USCG STA/ANT BUFFALO GENERATOR MAINTENANCE
B08_Attachment_9_Subcontractor_Ack_SF1413-23a_upon_award.pdf Revision not stated EROS Removal and replacement of chilled and conden
Exhibit I - Statement of Acknowledgment (SF-1413).pdf Revision not stated Central Utility Building Addition and Renovation Construction, UIP Subproject 1-CUB
S02_Attachment - Standard Form 1413.pdf Revision not stated Fort Bliss National Cemetery, Gravesite Expansion and FCA Deficiencies
S02_Attachment - Standard Form 1413.pdf Revision not stated CAMP NELSON NATIONAL CEMETERY, KY 833CM3030 – CORRECT FCA DEFICIENCIES
Exhibit K - SF1413.pdf Revision not stated Fire Sprinkler Repair_XGal_IB2A_Lab1_MI50
SF 1413-23A - Statement and Acknowledgment (2).pdf Revision not stated 70Z03026QCLEV0100 - GROUND MAINTENANCE AND SNOW REMOVAL FOR USCG STATION ST. IGNACE
SF 1413-23A - Statement and Acknowledgment (2).pdf Revision not stated 70Z03026QCLEV0101 - GROUND MAINTENANCE AND SNOW REMOVAL FOR SECTOR NORTHERN GRREAT LAKES
SF 1413 - Statement and Acknowledgment.pdf Revision not stated 70Z03026QCLEV0071 - USCG STA LORAIN SECURITY SYSTEM WITH CCTV PROJECT
Exhibit I SF1413_fill-ins.pdf Revision not stated MINOS High Bay Roof Replacement & Masonry Wall Repair
SF 1413 - Statement and Acknowledgment.pdf Revision not stated 70Z03026QCLEV0099 Replacement HVAC Station Building at STA Sodus Point
S02_Attachment - Standard Form 1413.pdf Revision not stated Leavenworth National Cemetery, Gravesite Expansion
SF 1413 - Statement and Acknowledgment.pdf Revision not stated 70Z03026QCLEV0097 - U. S. Coast Guard Station Lorain Gate Replacement
B08_Attachment_7_Subcontractor_Statement_and_Acknowledgment_SF1413-23a.pdf Revision not stated DREDGING OF SEDIMENT POND & CONTACT POOL
SF 1413-23A - Statement and Acknowledgment (1) (1).pdf Revision not stated 70Z03026QCLEV0053- USCG STATION ST. IGNACE REPLACEMENT SHOWER STALL
Exhibit K SF1413_printed.pdf Revision not stated Roof Maintenance and Repair Services IDIQ
Show all 20

Who attaches SF 1413

Agency Files
Department of Transportation Federal Aviation Administration Northwest Mountain Region 122
Department of the Interior US Geological Survey Office of Acquisitions and Grants 83
Department of Energy Fermi National Accelerator Laboratory 59
Department of the Interior Bureau of Indian Affairs Bureau of Indian Education 46
Department of Energy Office of Science 35
Department of Veterans Affairs National Cemetery Administration 28
Department of Homeland Security US Coast Guard 28
Department of Labor Employment and Training Administration 16
State Files
Florida 3
Colorado 1

Other files

File Type Posted
697DCK-24-R-00450 Amendment 0004 QAs.pdf PDF
697DCK-24-R-00450 Amendment 0003 QAs.pdf PDF
Attachment 1R-Specifications Rev. 1.pdf PDF
Attachment 1(a)R-Drawings Rev. 1.pdf PDF
697DCK-24-R-00450 Amendment 0002.pdf PDF
697DCK-24-R-00450 Amendment 0001.pdf PDF
Attachment 3 - Past Performance Survey.doc DOC document
RFO 697DCK-24-R-00450.pdf PDF
Attachment 2 - DB WD No. CO20240017 dated 7-5-2024.pdf PDF
Attachment 1(a) - Drawings.pdf PDF
Attachment 1 - Specifications.pdf PDF
Show all 11

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OMB Control No. 2120-0595 STATEMENT AND ACKNOWLEDGE OF CONTRACTOR Paperwork Reduction Act Public Burden Statement:

A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control Number. The OMB Control Number for this information collection is 2120-0595. Public reporting for this collection of information is estimated to be approximately 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524

PART I - STATEMENT OF PRIME CONTRACTOR

2. DATE SUBCONTRACT

1. PRIME CONTRACT NUMBER 3. SUBCONTRACT NUMBERAWARDED

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 does not contain the clause "Contract Work Hours and Safety Standards Act Overtime Compensation"6. The prime contract does,

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 Davis-Bacon Act Standards Act - Overtime Apprentices and Trainees Compensation - (If included in prime contract see Block 6) Compliance with Copeland Act Requirements Payrolls and Basic Records Subcontracts (Labor Standards) Withholding of Funds Contract Termination - Debarment Disputes Concerning Labor Standards Certification of Eligibility Compliance with Davis-Bacon and Related Act Regulations

14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY

A C

B D

15a. NAME OF PERSON SIGNING 16. BY (Signature) 17. DATE SIGNED

15b. TITLE OF PERSON SIGNING

FAA 4400-84 (01/23) Page 1

1 PRIME CONTRACT NO:
2 DATE SUBCONTRACT AWARDED:
3 SUBCONTRACT NUMBER:
a NAME:
a NAME_2:
b STREET ADDRESS:
b STREET ADDRESS_2:
c CITY:
d STATE:
e ZIP CODE:
c CITY_2:
d STATE_2:
e ZIP CODE_2:
does: Off
b DESCRIPTION OF WORK BY SUBCONTRACTOR:
8 PROJECT:
9 LOCATION:
10a NAME OF PERSON SIGNING:
12 DATE SIGNED:
10b TITLE OF PERSON SIGNING:
A:
C:
B:
D:
15a NAME OF PERSON SIGNING:
15b TITLE OF PERSON SIGNING:
17 DATE SIGNED:
Decription:
DOES NOT: Off

File details come from the government source that posted it. Updated .