16. AF Form 3065 Contract Progress Report (1 page) - BLANK.pdf
Air Force Form PDF 1 MB Posted
- Attached to
- Simplified Acquisition of Base Engineer Requirements (SABER) IDIQ at Seymour Johnson AFB, Goldsboro, NC.
- Solicitation number
- FA480922B0001
About this file
This solicitation notice announces an invitation for bids for a simplified acquisition of base engineer requirements indefinite-delivery, indefinite-quantity multiple award contract at Seymour Johnson Air Force Base, North Carolina. The contract is set aside for certified 8(a) or 8(a) joint venture small businesses registered in the System for Award Management. It encompasses a broad range of maintenance, repair, alteration, and minor construction projects to support base civil engineer activities at Seymour Johnson AFB, Dare County Bombing Range, and Fort Fisher Military Recreation Area. Work includes various construction tasks in trades such as concrete, masonry, carpentry, plumbing, electrical, roofing, pavement repair, excavation, welding, painting, site development, asbestos and lead abatement, and demolition. The base year is for twelve months with four twelve-month option periods and a six-month extension period. The site visit is August 30, 2022 and bids are due October 4, 2022. The Department of the Air Force Air Combat Command is the agency.
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Text version
OMB NO. 0704-0188CONTRACT PROGRESS REPORT
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (OMB No. 9000-0058), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. RETURN COMPLETED FORM TO : SAF/AQCO, 1060 Air Force Pentagon, Washington DC 20330-1060.
CONTRACTOR ADDRESS
REPORT NO. PERIOD COVERED
FROM:
PROJECT NO. CONTRACT NO. COMPLETION DATE
TO:
LINE
NO.
% OF
TOTAL JOB
% COMPLETED
THIS PERIOD
% COMPLETED
CUMULATIVE
WORK ELEMENT
TOTAL
REMARKS
At the Contracting Officer's discretion and according to the payments clause of the contract, the information provided on this form may be used for computing progress payments.
PROGRESS OR COMPLETION CERTIFICATE
I hereby certify that the contractor has satisfactorily completed the indicated percentage of the contract per contract specifications.
SUBMITTED BY OR FOR
CONTRACTOR BASE CIVIL ENGINEER
TYPE OR PRINT NAME AND TITLE SIGNATURE DATE
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE SIGNATURE DATE
AF IMT 3065, 19960401, V1 PREVIOUS EDITION IS OBSOLETE.
FA480922B0001
Attachment 16
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