Attachment 11 - AF Form 3065.pdf

PDF 129 KB Posted

Attached to
Communication Lines Installation, Tyndall AFB, FL Federal contract opportunity
Solicitation number
FA481922R0026
Issued by
Department of the Air Force Air Combat Command

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Other files for this federal contract opportunity

Other files attached to Communication Lines Installation, Tyndall AFB, FL, newest first.
File Type Posted
Solicitation Amendment - FA481922R00260001.pdf PDF
Attachment 15 R0026 Q and A.xlsx XLSX spreadsheet
Solicitation - FA481922R0026.pdf PDF
Attachment 06 - Wage Determination 20220005.pdf PDF
Attachment 03 - Appendix B.pdf PDF
Attachment 05 - Section L M.pdf PDF
Attachment 10 - Sample RFI.PDF PDF
Attachment 13 - Proof of Financial Responsibility.pdf PDF
Attachment 14 Division Cost Estimate Worksheet.xlsx XLSX spreadsheet
Attachment 01 - Statement of Work.pdf PDF
Attachment 07 - AF Form 3064.pdf PDF
Attachment 09 - AF Form 3000.pdf PDF
Attachment 12 - Base Access Request EAL.xlsx XLSX spreadsheet
Attachment 02 - Appendix A.pdf PDF
Attachment 04 - Other Contract Requirements.pdf PDF
Attachment 08 - AF Form 66.xls XLS spreadsheet
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AF IMT 3065, 19960401, V1 PREVIOUS EDITION IS OBSOLETE.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:
ADDRESS:
REPORT NO:
PROJECT NO:
CONTRACT NO:
LINE NORow1:
WORK ELEMENTRow1:
OF TOTALJOBRow1:
COMPLETED THIS PERIODRow1:
COMPLETED CUMULATIVERow1:
LINE NORow2:
WORK ELEMENTRow2:
OF TOTALJOBRow2:
COMPLETED THIS PERIODRow2:
COMPLETED CUMULATIVERow2:
LINE NORow3:
WORK ELEMENTRow3:
OF TOTALJOBRow3:
COMPLETED THIS PERIODRow3:
COMPLETED CUMULATIVERow3:
LINE NORow4:
WORK ELEMENTRow4:
OF TOTALJOBRow4:
COMPLETED THIS PERIODRow4:
COMPLETED CUMULATIVERow4:
LINE NORow5:
WORK ELEMENTRow5:
OF TOTALJOBRow5:
COMPLETED THIS PERIODRow5:
COMPLETED CUMULATIVERow5:
LINE NORow6:
WORK ELEMENTRow6:
OF TOTALJOBRow6:
COMPLETED THIS PERIODRow6:
COMPLETED CUMULATIVERow6:
LINE NORow7:
WORK ELEMENTRow7:
OF TOTALJOBRow7:
COMPLETED THIS PERIODRow7:
COMPLETED CUMULATIVERow7:
LINE NORow8:
WORK ELEMENTRow8:
OF TOTALJOBRow8:
COMPLETED THIS PERIODRow8:
COMPLETED CUMULATIVERow8:
LINE NORow9:
WORK ELEMENTRow9:
OF TOTALJOBRow9:
COMPLETED THIS PERIODRow9:
COMPLETED CUMULATIVERow9:
LINE NORow10:
WORK ELEMENTRow10:
OF TOTALJOBRow10:
COMPLETED THIS PERIODRow10:
COMPLETED CUMULATIVERow10:
LINE NORow11:
WORK ELEMENTRow11:
OF TOTALJOBRow11:
COMPLETED THIS PERIODRow11:
COMPLETED CUMULATIVERow11:
LINE NORow12:
WORK ELEMENTRow12:
OF TOTALJOBRow12:
COMPLETED THIS PERIODRow12:
COMPLETED CUMULATIVERow12:
LINE NORow13:
WORK ELEMENTRow13:
OF TOTALJOBRow13:
COMPLETED THIS PERIODRow13:
COMPLETED CUMULATIVERow13:
LINE NORow14:
WORK ELEMENTRow14:
OF TOTALJOBRow14:
COMPLETED THIS PERIODRow14:
COMPLETED CUMULATIVERow14:
LINE NORow15:
WORK ELEMENTRow15:
OF TOTALJOBRow15:
COMPLETED THIS PERIODRow15:
COMPLETED CUMULATIVERow15:
OF TOTALJOBTOTAL:
COMPLETED THIS PERIODTOTAL:
COMPLETED CUMULATIVETOTAL:
Project Scheduled at:
Approved Disapproved:
undefined:
BASE CIVIL ENGINEER: Off
TYPE OR PRINT NAME AND TITLE:
DATE:
TYPE OR PRINT NAME AND TITLE_2:
DATE_2:
Text1:
Text2:
Text3:
Text4:
Text5:
Text6:
Text7:

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