Atch H. AF IMT 3065 Contract Progress Report.pdf

OMB NO. 0704-0188CONTRACT PROGRESS REPORT

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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AF IMT 3065, 19960401, V1 PREVIOUS EDITION IS OBSOLETE.