Attachment 11 AF3065.pdf
PDF 102 KB Posted
- Attached to
- Repair/Restore Pest Management Facility Federal contract opportunity
- Solicitation number
- FA481922R0015
About this file
This document contains a federal contract opportunity for repair and restoration services. The U.S. Air Force is seeking proposals for a firm-fixed price design-build contract to repair and restore the Pest Management Facility at Tyndall Air Force Base. The project has a period of performance of 365 days from the notice to proceed and includes commercial and institutional building construction services. The acquisition is designated as a HUBZone small business set-aside and proposals are requested in accordance with FAR Part 15. Davis-Bacon wage requirements apply. A site visit will be conducted with the end user, contractor, civil engineer, and contracting squadron. Proposals are due by the date specified in Section L.
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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.
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