Attachment 08 AF3065.pdf
PDF 129 KB Posted
- Attached to
- Repair (restore) Bonita Bay Docks Federal contract opportunity
- Solicitation number
- FA481922R0010
About this file
This is a Contract Progress Report template to be used by contractors to report on the status of work completed on a federal project. The template collects information on the contractor name and address, report number, project number, contract number, and completion date. It includes lines to report the work element, percentage of the total job, percentage completed in the reporting period, and cumulative percentage completed to date. There is also a section for remarks and certifications to be signed by the base civil engineer and contracting officer affirming satisfactory completion according to contract specifications.
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Text version
AF IMT 3065, 19960401, V1 PREVIOUS EDITION IS OBSOLETE.
CONTRACT PROGRESS REPORT OMB NO. 0704-0188
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 PROJECT NO. CONTRACTNO. COMPLETION DATE
FROM: TO:
LINE
NO. WORK ELEMENT % OF
TOTALJOB
% COMPLETED
THIS PERIOD
% COMPLETED
CUMULATIVE
TOTAL
REMARKS
Limitations on Subcontracting (to date) Project Scheduled at: _____% ___% of contract are materials ___% of work by Prime excluding materials ___% of work by similarly situated subs excluding materials Approved / Disapproved: ________________________ ___% of work by other subs excluding materials CES Inspector Signature
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 COMPLETIONCERTIFICATE
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
| OMB NO 07040188: |
| CONTRACTOR: |
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| BASE CIVIL ENGINEER: Off |
| TYPE OR PRINT NAME AND TITLE: |
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