SF1413 Statement of Acknowledgement.pdf

This is Standard Form 1413 (Rev. 4/2013), a federal contracting form titled "Statement and Acknowledgment" used to document subcontract awards under prime contracts.

Part I of the form requires the prime contractor to provide identification information including the prime contract number, date of subcontract award, and the subcontractor's name and address. The prime contractor must indicate whether the prime contract contains the "Contract Work Hours and Safety Standards Act – Overtime Compensation" clause. The form also requires disclosure of the awarding firm, a description of work to be performed by the subcontractor, the project name, and project location, with signature and date certification by an authorized representative of the prime contractor.

Part II documents the subcontractor's acknowledgment that specific contract clauses are incorporated into the subcontract, including provisions related to Contract Work Hours and Safety Standards Act overtime compensation (if applicable in the prime contract), 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, Copeland Act requirements compliance, labor standards subclauses, contract termination for debarment, and certification of eligibility. The form includes space to list any intermediate subcontractors and requires signature and date certification by an authorized representative of the subcontractor. This template is authorized for local reproduction.