Attachment 3- SF 1413 Sub-Contractor Form.pdf

Standard Form PDF 15 KB Posted

Attached to
Fairbanks FSS ESD Carpet Vinyl Tile Replacement, AK
Solicitation number
DTFASA-17-R-00232
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Attachment 3- SF 1413 Sub-Contractor Form (pdf)

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Other versions and copies of SF 1413

File Revision Posted Attached to
B2_DRAFT_08.3_Sec_J_SF1413_exp_05-2027.pdf May 2027 SLAC Job Order Contract
S02_Attachment - SF 1413 updated.pdf Revision not stated Fort Bliss National Cemetery, Gravesite Expansion and FCA Deficiencies
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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
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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
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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
SF1413 Statement of Acknowledgement.pdf Revision not stated CSS 99147 Mini Splits Scranton, PA (PA162)
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Text version

OMB Control No. 2120-0595 (SF-1413) FAA Template No. 21 (8/97)

STATEMENT AND ACKNOWLEDGMENT

PART I - STATEMENT OF PRIME CONTRACTOR

1. PRIME CONTRACT NO.

2. DATE SUBCONTRACT

AWARDED

3. SUBCONTRACT NUMBER

4. PRIME CONTRACTOR (Name, address and ZIP code)

5. SUBCONTRACTOR (Name, address and ZIP code)

6. The prime contractor states that under the contract shown in Item 1, a subcontract was awarded on date shown in Item 2 by

(Name of Awarding Firm) to the subcontractor identified in Item 5, for the following work:

7. PROJECT

8. LOCATION

9. NAME AND TITLE OF PERSON SIGNING

10. BY (Signature)

11. DATE SIGNED

PART II - ACKNOWLEDGMENT OF SUBCONTRACTOR

12. 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

Payrolls and Basic Records

Withholding of Funds

Disputes Concerning Labor Standards

Other:

Davis-Bacon Act

Apprentices and Trainees

Anti-Kickback Procedures

Subcontracts

Contract Termination

Certification of Eligibility

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

14. NAME AND TITLE OF PERSON SIGNING

15. BY (Signature)

16. DATE SIGNED

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