ATTACH19_AF3065_BLANK_SAMPLE.pdf
PDF 102 KB Posted
- Attached to
- Robins AFB Mechanical/Electrical II IDIQ Federal contract opportunity
- Solicitation number
- FA850124R0001
About this file
This document is a template for a Contract Progress Report used by the Department of the Air Force to monitor completion percentages for line items and work elements on contracts. The template collects information on the contract number, project number, reporting period dates, contractor address, and line item numbers with spaces to record the percentage of each work element completed during the reporting period and cumulatively to date. At the bottom, the contractor and contracting officer must certify the percentage of contract completion according to the specifications. No information is provided about specific requirements, response dates, pricing terms, or set-asides for federal opportunities.
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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.
File details come from the government source that posted it. Updated .