Exhibit I SF1413_fill-ins.pdf

Standard Form PDF 181 KB Posted

Attached to
MINOS High Bay Roof Replacement & Masonry Wall Repair
Solicitation number
ISD_384202_DA
Issued by

About this file

This is a Standard Form 1413 (Statement and Acknowledgment), which documents a subcontract award under a federal prime contract. The prime contract number is 89243024CSC000002, issued to Fermi Forward Discovery Group, LLC, located at Kirk Road and Wilson Street, Batavia, Illinois 60510. The subcontract pertains to the MINOS High Bay Roof Replacement and Masonry Wall Repair project at Fermilab Site, located 3 miles east of Batavia, Illinois.

The subcontractor shall furnish all labor, materials, transportation, overhead, insurance, bonding costs, safety oversight, quality control oversight, supervision, and equipment necessary to perform roof replacement and masonry wall repair work. The scope of work is defined by the Statement of Work dated August 6, 2026, the Project Manual dated August 3, 2026, and associated drawing sets. The form confirms that the prime contract contains the Contract Work Hours and Safety Standards Act – Overtime Compensation clause, and the subcontract acknowledges inclusion of all applicable labor standards clauses, including requirements for payrolls and basic records, withholding of funds, disputes concerning labor standards, construction wage rate requirements, apprentices and trainees, Copeland Act compliance, subcontract labor standards, contract termination-debarment, and certification of eligibility. The form was signed by Danielle Amico, Procurement Specialist IV, representing Fermi Forward Discovery Group, LLC as the awarding firm.

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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
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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
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Show all 20

Who attaches SF 1413

State Files
Florida 3
Colorado 1

Other files

File Type Posted
6-7-126_MINOS_G-02 GENERAL NOTES_REV01.pdf PDF
QandA-Minos Roof and Masonry Wall1_Response_Final.pdf PDF
SECTION 075419 - POLYVINYL-CHLORIDE (PVC) ROOFING_Amendment2.pdf PDF
Amend 02 to RFP ISD_384202_DA.pdf PDF
6-7-126_MINOS_G-01 COVER SHEET_REV01.pdf PDF
Response8-PLM Results Report - Lab F - MINOS - F38FC - NWA.pdf PDF
2.0 Price Proposal Form_Final_R1_fill-ins.pdf PDF
Pre-Proposal Sign In Sheet_Minos roof-wall_2nd Site Visit.pdf PDF
6-7-126_MINOS_A-01 PLAN - REV01.pdf PDF
Amend 01 to RFP ISD_384202_DA.pdf PDF
Second Site Visit-Business Visitor Registration Instructions and Directions.pdf PDF
Pre-Proposal Meeting-Sign in Sheet.pdf PDF
Exhibit C FFDG General Terms and Conditions for Construction (08.2025).pdf PDF
Exhibit D 2025 Construction Insurance Requirements.pdf PDF
Exhibit J PUR-466_Proposal Certifications_r5_10.14.25.pdf PDF
Exhibit Q Business Visitor Registration Instructions and Directions-MinosRoof_MasonryWall.pdf PDF
Attach A 6-7-126_SOW_Minos Roof_High Bay_wall repair_v5.pdf PDF
Exhibit L General Decision No IL20260008 Mod2_2026_0518.pdf PDF
Exhibit O 6-7-126 MINOS HIGH BAY ROOF_MASONRY WALL REPAIR_drawing set.pdf PDF
Exhibit F Payment Bond FL-42_FFDG.pdf PDF
2.0 Price Proposal Form_Final_fill-ins.pdf PDF
1.0 Request for Proposal_ISD_384202_DA.pdf PDF
Exhibit H Fermilab Subcontractor Safety Information Questionnaire.pdf PDF
Exhibit G Performance Bond FL-40_FFDG.pdf PDF
Exhibit K SARC_Subcontractor Annual RepsCerts Rev 8.pdf PDF
Exhibit E Bid Bond FL-41.pdf PDF
Exhibit N FL-61 (Rev. 1-07).pdf PDF
Exhibit R Fermilab Site Map-MINOS.pdf PDF
Exhibit M Sample FFP Subcontract.pdf PDF
Attach B 6-7-126_MINOS HB ROOF REPLACEMENT_PROJECT MANUAL_260803.pdf PDF
Exhibit P Summary of Required Solicitation Documents.pdf PDF
Show all 31

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Text version

Statement And Acknowledgment OMB Control Number: 9000-0066 Expiration Date: 5/31/2027

Part I - Statement Of Prime Contractor

1. Prime Contract Number 2. Date Subcontract

Awarded

3. Subcontract Number

Authorized For Local Reproduction Previous Edition Is Not Usable

STANDARD FORM 1413 (REV. 10/2023)

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

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

89243024CSC000002

Fermi Forward Discovery Group, LLC

Kirk Road and Wilson Street

Batavia

Fermi Forward Discovery Group, LLC

Danielle Amico

Procurement Specialist IV

8. Project MINOS High Bay Roof Replacement and Masonry Wall Repair

Fermilab Site, 3 miles east of the City of Batavia, Illinois

b. Description Of Work By Subcontractor The Subcontractor shall furnish all labor, materials, transportation, overhead, insurance, bonding costs, safety oversight, quality control oversight, supervision, and equipment necessary to perform the work described in the Statement of Work entitled, “MINOS High Bay Roof Replacement and Masonry Wall Repair” dated August 6, 2026, Project Manual - Minos High Bay Roof Replacement and Masonry Wall Repair dated 8/3/26, and Minos High Bay Roof and Masonry Wall Repair Drawing Set mentioned therein, which the Statement of Work, amendments, and all other exhibits and documents are attached to and hereby made a part of this Subcontract.

60510IL

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.

15b. Title Of Person Signing

15a. Name Of Person Signing 16. By (Signature) 17. Date Signed

14. Name(s) Of Any Intermediate Subcontractors, If Any

A C

DB

STANDARD FORM 1413 (REV. 10/2023) BACK

2 Date Subcontract Awarded:
3 Subcontract Number:
a Name:
b Street Address:
c City:
d State:
e ZIP Code:
14 Names Of Any Intermediate Subcontractors If Any:
C:
B:
D:
Text1:
Text2:
Text3:

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