SF1413 Statement of Acknowledgement.pdf

This is Standard Form 1413 (Rev. 4/2013), a federal form used to document the Statement and Acknowledgment of a prime contractor regarding subcontract awards.

The form serves as an official record that a subcontract was awarded under a prime contract on a specified date. Part I requires the prime contractor to provide contract and subcontractor identification information, including the prime contract number, subcontract number, names and addresses of both the prime contractor and subcontractor, the awarding firm name, and a description of work to be performed by the subcontractor. The form also requires disclosure of whether the prime contract contains the "Contract Work Hours and Safety Standards Act – Overtime Compensation" clause. Part II contains the subcontractor's acknowledgment that specific contract clauses are included in the subcontract, including Contract Work Hours and Safety Standards Act provisions, Construction Wage Rate Requirements, payroll and basic records requirements, withholding of funds, disputes concerning labor standards, compliance with wage rate regulations, apprentices and trainees, Copeland Act requirements, labor standards subcontracts, contract termination and debarment, and certification of eligibility. The form requires signatures from both the prime contractor and subcontractor representatives, along with the dates signed. This form is prescribed by GSA/FAR (48 CFR 53.222(e)) and is authorized for local reproduction. The OMB Control Number is 9000-0066, with an expiration date of 5/31/2025.