Exhibit K SF1413_printed.pdf

Standard Form PDF 97 KB Posted

Attached to
Roof Maintenance and Repair Services IDIQ
Solicitation number
ISD_384529_DA
Issued by

About this file

This is a Standard Form 1413, Statement and Acknowledgment of Subcontract under a Federal Prime Contract, documenting a subcontract relationship for roof maintenance and repair services at Fermilab.

Contract and Party Information:

The document establishes a subcontract (number not specified in visible fields) under Prime Contract Number 89243024CSC000002, with Fermi Forward Discovery Group, LLC serving as both the prime contractor and the awarding firm. The prime contractor is located at Kirk Road and Wilson Street, Batavia, IL 60510. The subcontractor information section (Item 5) is blank, indicating this is a template or incomplete form. Danielle Amico, Procurement Specialist IV, signed the prime contractor acknowledgment.

Scope of Work:

The subcontractor is required to furnish all labor, materials, transportation, overhead, insurance, bonding costs, safety oversight, quality control oversight, supervision, and equipment necessary to perform roof maintenance and repair services at the Fermilab Site, located 3 miles east of Batavia, Illinois. The work is governed by the Statement of Work dated July 20, 2026, along with referenced sections including Section 010010 – General Requirements (March 2025) and Section 013100 – Environment, Safety, and Health Requirements (April 2025). The prime contract contains the Contract Work Hours and Safety Standards Act – Overtime Compensation clause, which is flowed down to the subcontract. The subcontractor acknowledges inclusion of numerous federal labor standards clauses including payroll requirements, wage rate requirements, apprenticeship provisions, and debarment certification obligations.

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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
Exhibit F - Statement of Acknowledgment (SF-1413).pdf Revision not stated KAUTZ ROAD SUBSTATION CONSTRUCION, UIP SUBPROJECT 2- KRS
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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
SF1413 Statement of Acknowledgement.pdf Revision not stated CSS 99147 Mini Splits Scranton, PA (PA162)
Show all 20

Who attaches SF 1413

State Files
Florida 3
Colorado 1

Other files

File Type Posted
QandA_Roof Maint and Repair IDIQ_Final.pdf PDF
Question11-Price Evaluation-Estimated Hours.pdf PDF
Amend 02 to RFP ISD_384529_DA.pdf PDF
Ppt_Roof Maint and Repair IDIQ-PreProposal Mtg.pdf PDF
Amend 01 to RFP ISD_384529_DA.pdf PDF
Pre-Proposal Mtg_List_Roof Repair IDIQ.pdf PDF
Exhibit G 014100 _ 5 Year Roof IDIQ.pdf PDF
Exhibit Q Inventory_2027 Roof CM IDIQ(1).xlsx XLSX spreadsheet
Exhibit H Payment Bond FL-42_FFDG.pdf PDF
Exhibit T Summary of Required Solicitation Documents.pdf PDF
Exhibit D 010010_5 Year Roofing IDIQ.pdf PDF
Exhibit O SAMPLE-IDIQ Subcontract (Construction).pdf PDF
Exhibit J Fermilab Subcontractor Safety Information Questionnaire.pdf PDF
Exhibit C Roof_Maintenance_SOW_Final.pdf PDF
Exhibit P Price Proposal Form_fill_ins.pdf PDF
Exhibit N General Decision No IL20260008 Mod2_2026_0518.pdf PDF
Exhibit S Consumable List.pdf PDF
Exhibit U FL-61 (Rev. 1-07).pdf PDF
Exhibit M SARC_Subcontractor Annual RepsCerts Rev 8.pdf PDF
Exhibit A FFDG TandCs for Construction (08.2025).pdf PDF
Exhibit E 013100_5 Year Roof IDIQ.pdf PDF
Exhibit R Tool List.pdf PDF
RFP ISD_384529_DA-Roof Maint and Repair IDIQ.pdf PDF
Exhibit F 013300_5 Year Roof IDIQ.pdf PDF
Exhibit L PUR-466_Proposal Certifications_r5_10.14.25.pdf PDF
Exhibit B 2025 Construction Insurance Requirements.pdf PDF
Exhibit I Performance Bond FL-40_FFDG.pdf PDF
Show all 27

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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

Fermilab Roof Maintenance and Repair Services 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, “Fermilab Roof Maintenance and Repair Services” dated July 20, 2026, Section 010010 - General Requirements (March 2025), Section 013100 - Environment, Safety, and Health Requirements (April 2025), which the Statement of Work, amendments, and other 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

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