10 - Meeting Minutes Fillable.pdf
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- Solicitation number
- 36C25820B0014
About this file
This meeting minutes template from the Department of Veterans Affairs documents a project meeting for construction services to prepare a site for a pharmacy sterile compounding trailer at VA Long Beach Healthcare System. Key details include: the contractor and project title are unspecified; services required include all labor and materials to prepare the site and connect required utilities; the period of performance end date is to be documented; action items with descriptions and due dates are to be documented for both the government and contractor; and signatures are required from the contractor and contracting officer representative to acknowledge details.
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Text version
DEPARTMENT OF VETERANS AFFAIRS
Network Contracting Office (NCO) 22G
777 Missouri Ave., Phoenix, AZ 85014
Meeting Minutes
DATE CONTRACTOR
PROJECT TITLE
CONTRACT NUMBER
PROJECT NUMBER
PURCHASE ORDER (PO) NUMBER
Attendees
Name Organization Phone Email
The Contracting Officer is the only person authorized to bind the U.S. Government.
***individuals whom act outside their delegated authority may be held personally liable IAW FAR 1.602-2(7)(v)***
1. PROGRESSION OF WORK
Projected Percentage of Completion: %
Actual Percentage of Completion: %
Contract Period of Performance End Date:
2. ACTION ITEMS DUE FROM GOVERNMENT
Type Description (Identifier, number, etc) Date of
Submission
3. ACTION ITEMS DUE FROM CONTRACTOR
Type Description (Identifier, number, etc) Due Date
4. ADDITIONAL NOTES (DISCUSSION)
Signature below constitutes acknowledgement that the details listed herein as they pertain to this document, are complete and accurate to the best of signers knowledge and belief.
CONTRACTOR (date)
CONTRACTING OFFICER REPRESENTATIVE (COR) (date)
| DATE: |
| CONTRACTOR: |
| PROJECT TITLE: |
| CONTRACT NUMBER: |
| PROJECT NUMBER: |
| PURCHASE ORDER PO NUMBER: |
| NameRow1: |
| OrganizationRow1: |
| PhoneRow1: |
| EmailRow1: |
| NameRow2: |
| OrganizationRow2: |
| PhoneRow2: |
| EmailRow2: |
| NameRow3: |
| OrganizationRow3: |
| PhoneRow3: |
| EmailRow3: |
| NameRow4: |
| OrganizationRow4: |
| PhoneRow4: |
| EmailRow4: |
| NameRow5: |
| OrganizationRow5: |
| PhoneRow5: |
| EmailRow5: |
| NameRow6: |
| OrganizationRow6: |
| PhoneRow6: |
| EmailRow6: |
| NameRow7: |
| OrganizationRow7: |
| PhoneRow7: |
| EmailRow7: |
| Contract Period of Performance End Date: |
| Description Identifier number etcRow1: |
| Date of SubmissionRow1: |
| Description Identifier number etcRow2: |
| Date of SubmissionRow2: |
| Description Identifier number etcRow3: |
| Date of SubmissionRow3: |
| Description Identifier number etcRow4: |
| Date of SubmissionRow4: |
| Description Identifier number etcRow5: |
| Date of SubmissionRow5: |
| Description Identifier number etcRow6: |
| Date of SubmissionRow6: |
| Description Identifier number etcRow7: |
| Date of SubmissionRow7: |
| Description Identifier number etcRow8: |
| Date of SubmissionRow8: |
| Description Identifier number etcRow9: |
| Date of SubmissionRow9: |
| Description Identifier number etcRow1_2: |
| Due DateRow1: |
| Description Identifier number etcRow2_2: |
| Due DateRow2: |
| Description Identifier number etcRow3_2: |
| Due DateRow3: |
| Description Identifier number etcRow4_2: |
| Due DateRow4: |
| Description Identifier number etcRow5_2: |
| Due DateRow5: |
| Description Identifier number etcRow6_2: |
| Due DateRow6: |
| Description Identifier number etcRow7_2: |
| Due DateRow7: |
| Description Identifier number etcRow8_2: |
| Due DateRow8: |
| 4 ADDITIONAL NOTES DISCUSSION: |
| Projected Percentage: |
| Actual Percentage: |
| KTR Sig Date: |
| Contractor Name & Title: |
| COR Name and Title: |
| COR Sig Date: |
| Type G to C_1: [--select--] |
| Type G to C_2: [--select--] |
| Type G to C_3: [--select--] |
| Type G to C_4: [--select--] |
| Type G to C_5: [--select--] |
| Type G to C_6: [--select--] |
| Type G to C_8: [--select--] |
| Type G to C_7: [--select--] |
| Type G to C_9: [--select--] |
| Type KTR to G _ 01: [--select--] |
| Type KTR to G _ 02: [--select--] |
| Type KTR to G _ 04: [--select--] |
| Type KTR to G _ 03: [--select--] |
| Type KTR to G _ 05: [--select--] |
| Type KTR to G _ 06: [--select--] |
| Type KTR to G _ 07: [--select--] |
| Type KTR to G _ 08: [--select--] |
File details come from the government source that posted it. Updated .