Attachment 6 - SF-1413 Subcontractor Form.pdf

Standard Form PDF 632 KB Posted

Attached to
AMENDMENT 0002 - ADA Compliant Ramp Installation Project at FAA's Seattle Air Route Traffic Control Center (ARTCC) in Auburn, WA
Solicitation number
697DCK-24-R-00305
Issued by

About this file

Written by GovTribe AI ·

This document is an SF-1413 Subcontractor Statement and Acknowledgment form. It requires the prime contractor and subcontractor to provide information about a federal subcontract, including the prime contract number, subcontract award date, subcontractor details, and acknowledgment of applicable labor standard clauses.

The related federal contract opportunity is for the installation of an Americans with Disabilities Act (ADA) compliant exterior ramp at the FAA's Seattle Air Route Traffic Control Center in Auburn, Washington. The project is estimated to cost between $250,000 and $500,000 and is set aside for small businesses under NAICS code 236220. Key dates include a site visit on April 17, 2024, questions due by April 29, 2024, and offers due by May 20, 2024. The work includes relocating a door, constructing the ramp, installing lighting and access controls, and modifying the existing landscaping and irrigation system.

View the file

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-00305 Amend 0002.pdf PDF
Amend 0001 Attach 3 - Transition to EES detail00.pdf PDF
Amend 0001 Attach 1 - 1402263 Install ADA Compliant Ramp grounding V1.pdf PDF
Amend 0001 Attach 2 - ZSE LPGBS.pdf PDF
697DCK-24-R-00305 Amend 0001.pdf PDF
Amend 0001 Attach 4 - HID PIVCARD READER.jpg JPG image
Attachment 5 - Past Performance Survey.doc DOC document
Attachment 4 - Past Experience Information Form.docx DOCX document
Attachment 3 - DB WD No. WA2024011 dated 3-8-2024.pdf PDF
Attachment 7 - REF Ramp Rendition 1.jpg JPG image
Attachment 2 - Construction Staging Plan.pdf PDF
Attachment 8 - REF Ramp Rendition 2.jpg JPG image
RFO 697DCK-24-R-00305.pdf PDF
Attachment 1 - Specifications.pdf PDF
Attachment 1(a) - Drawings.pdf PDF
Show all 15

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

STATEMENT AND ACKNOWLEDGMENT

Public reporting burden for this collection of information is estimated to average 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 the FAR Secretariat, (VIR), Regulatory and Federal Assistance Division, GSA, Washington, DC 20405; and to the Office of Management and Budget, Paperwork Reduction Project (9000-0014), Washington, DC 20503.

PART I - STATEMENT OF PRIME CONTRACTOR

1. PRIME CONTRACT NO. 2. DATE SUBCONTRACT

AWARDED

3. SUBCONTRACT NUMBER

15b. TITLE OF PERSON SIGNING

OMB Control No. 2120-0595 (SF-1413) FAA Template No. 21 (4/11)

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 Davis-Bacon and Related Act Regulations

Davis-Bacon Act 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

1.6 Presentation Agent PDFlib 3.02 (C++/Win32) D:20050617125503-04'00' D:20080212101247-05'00'

STATEMENT AND ACKNOWLEDGMENT

Public reporting burden for this collection of information is estimated to average 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 the FAR Secretariat, (VIR), Regulatory and Federal Assistance Division, GSA, Washington, DC 20405; and to the Office of Management and Budget, Paperwork Reduction Project (9000-0014), Washington, DC 20503.

PART I - STATEMENT OF PRIME CONTRACTOR

1. PRIME CONTRACT NO.

2. DATE SUBCONTRACT AWARDED

3. SUBCONTRACT NUMBER

15b. TITLE OF PERSON SIGNING OMB Control No. 2120-0595 (SF-1413) FAA Template No. 21 (4/11)

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 Davis-Bacon and Related Act Regulations Davis-Bacon Act 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

1. PRIME CONTRACT NUMBER:
4A. NAME:
4B. STREET ADDRESS:
4C. CITY:
7A. NAME OF AWARDING FIRM:
10A. NAME OF PERSON SIGNING:
15A. NAME OF PERSON SIGNING:
15B. TITLE OF PERSON SIGNING:
10B. TITLE OF PERSON SIGNING:
14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY. Line A.:
14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY. Line D.:
14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY. Line C.:
14. NAME(S) OF ANY INTERMEDIATE SUBCONTRACTORS, IF ANY. Line B.:
8. PROJECT:
9. LOCATION:
7B. DESCRIPTION OF WORK BY SUBCONTRACTOR:
5C. CITY:
4E. ZIP CODE:
5E. ZIP CODE:
4D. STATE:
5D. STATE:
3. SUBCONTRACT NUMBER:
5A. NAME:
5B. STREET ADDRESS:
2. DATE SUBCONTRACT AWARDED. Enter 2 digit month, 2 digit day and 4 digit year.:
12. DATE SIGNED. Enter 2 digit month, 2 digit day and 4 digit year.:
17. DATE SIGNED. Enter 2 digit month, 2 digit day and 4 digit year.:
6. The prime contract does contain the clause entitled "Contract Work Hours and Safety Standards Act -- Overtime Compensation.": 0
6. The prime contract does not contain the clause entitled "Contract Work Hours and Safety Standards Act -- Overtime Compensation.": 0
SignatureField1:
SignatureField2:

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