Exhibit 20 SF1413-23a
Updated
A PDF document (189 KB) attached to Pip-Ii F-37 Building LWC Pump Room Piping System Installation, from the Department of Energy. Due Nov 19, 2026, 2:00 PM (UTC-6).
File name: EXHIBIT_20_SF1413-23a.pdf
The full file is for paid members, or buy this bid alone.
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OMB Control Number: 9000-0066
Expiration Date: 5/31/2027
Statement And Acknowledgment
Part I - Statement Of Prime Contractor
1. Prime Contract Number
2. Date Subcontract Awarded
3. Subcontract Number
89243024CSC000002
4. Prime Contractor
5. Subcontractor
a. Name
a. Name
b. Street Address
b. Street Address
Fermi Forward Discovery Group, LLC
Kirk Road and Wilson Street
c. City
Batavia
d. State
IL
does,
e. ZIP Code
60510
c. City
d. State
e. ZIP Code
6.
The prime contract
- Overtime Compensation."
does not contain the clause entitled "Contract Work Hours and Safety Standards Act -
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
b.
Description Of Work By Subcontractor
Fermi Forward Discovery Group, LLC
The scope of work consists of all labor, equipment, transportation, overhead, bonding costs, insurance, safety oversight, QC oversight and supervision as required to ensure, mobilize, procure, deliver and install the scope of work known as the PIP-II CPB HX and Pump (Project No. 4-3-3G).
8. Project
PIP-II CPB HX AND PUMP
10a. Name of Person Signing
Michele Reynolds
9. Location
Fermilab Site, 3 miles East of City of Batavia, DuPage
11. By (Signature)
12. Date Signed
10b. Title of Person Signing
Procurement Manager
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 Construction Wage Rate Requirements Apprentices
included in prime contract see Block 6)
and Trainees
Payrolls and Basic Records Withholding of Funds
Compliance with Copeland Act Requirements
Disputes Concerning Labor Standards
Subcontracts (Labor Standards) Contract
Termination - Debarment Certification of Eligibility
Compliance with Construction Wage Rate Requirements and Related Regulations
Authorized For Local Reproduction.
Previous Edition Is Not Usable
STANDARD FORM 1413 (REV. 10/2023)
Prescribed by GSA/FAR (48 CFR) 53.222(e)
14.
Name(s) Of Any Intermediate Subcontractors, If Any
A
C
B
D
15a. Name of Person Signing
16. By (Signature)
17. Date Signed
15b. Title of Person Signing
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
The beginning of the document. Download the full file to read on.
Other documents in this bid
- Bid document
- Exhibit 10 ESH Requirements
- Exhibit 11 Submittals
- Exhibit 12 Quality Requirements
- Exhibit 13 CESHC
- Exhibit 16 2025 Construction Insurance Requirements
- Exhibit 18 Injury Illness Questionaire
- Exhibit 19 General Decision Number 05 18 2026
- Exhibit 21 Bid Bond
- Exhibit 22 Payment Bond
- Exhibit 23 Performance Bond
- Exhibit 24 Sample Subcontract