Appendix C3. AF Form 3065 Progress Reports (SOW Appendix).xlsx
XLSX spreadsheet 18 KB Posted
- Attached to
- Modernize Electrical and HVAC Redundancy
- Solicitation number
- FA4855-20-R-0012
About this file
This document contains a federal contract solicitation and progress report template. The solicitation seeks firms to modernize electrical and HVAC redundancy at an Air Force facility. Firms are requested to establish a redundant electrical power system, replace two 200-ton chillers with air-cooled models, and install dedicated HVAC for ground control station bays. The period of performance is 570 calendar days with a project magnitude between $5 million to $10 million. The procurement utilizes lowest price technically acceptable procedures and has a total small business set-aside in accordance with FAR 19.502-2. The progress report template is an AF Form 3065 to track completion percentages for contract line items over multiple reporting periods by the contractor and contracting officer.
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Text version
Sheet1
| CONTRACT PROGRESS REPORT | |
| Public reporting burden for this collection of information is estimated to average per reseponse, 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, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project 9000-0062, Washington, DC, 20503. Please DO NOT RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000. | |
| CONTRACTOR | ADDRESS |
| REPORT NO. | PERIOD COVERED | PROJECT NO. | CONTRACT NO. | COMPLETION DATE | |||||
| 1 | TO: | ||||||||
| LINE NO. | WORK ELEMENT | % of TOTAL JOB | PREVIOUS CUMULATIVE % | % COMPLETED THIS PERIOD | % COMPLETED CUMULATIVE | ||||
| 1 | Bond | 0 | 0 | 0 | 0 | ||||
| 2 | 0 | 0 | 0 | 0 | |||||
| 3 | 0 | 0 | 0 | 0 | |||||
| 4 | 0 | 0 | 0 | 0 | |||||
| 5 | 0 | 0 | 0 | 0 | |||||
| 6 | 0 | 0 | 0 | 0 | |||||
| 7 | 0 | 0 | 0 | 0 | |||||
| 8 | 0 | 0 | 0 | 0 | |||||
| 9 | 0 | 0 | 0 | 0 | |||||
| 10 | 0 | 0 | 0 | 0 | |||||
| 11 | 0 | 0 | 0 | 0 | |||||
| 12 | 0 | 0 | 0 | 0 | |||||
| 13 | 0 | 0 | 0 | 0 | |||||
| 14 | 0 | 0 | 0 | 0 | |||||
| 15 | 0 | 0 | 0 | 0 | |||||
| 16 | 0 | 0 | 0 | 0 | |||||
| 17 | 0 | 0 | 0 | 0 | |||||
| 18 | 0 | 0 | 0 | 0 | |||||
| 19 | 0 | 0 | 0 | 0 | |||||
| 20 | 0 | 0 | 0 | 0 | |||||
| 21 | 0 | 0 | 0 | ||||||
| 22 | 0 | 0 | 0 | ||||||
| 23 | 0 | 0 | 0 | ||||||
| Total | 0.00% | 0.00% | 0.00% | 0.00% | |||||
| 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 ENGINEERING | |||
| TYPE OR PRINT NAME AND TITLE | SIGNATURE | DATE | ||
| XXX, Construction Manager | DDMMYEAR | |||
| REVIEWED BY OR FOR CONTRACTING OFFICER | ||||
| TYPE OR PRINT NAME AND TITLE | SIGNATURE | DATE |
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