Attachment 5 - AF FORM 3065 Contract Progress Report.pdf

CONTRACT PROGRESS REPORT

CONTRACTOR ADDRESS

REPORT NO. PERIOD COVERED PROJECT NO. CONTRACT NO. COMPLETION DATE

FROM: TO:

PROJECT TITLE

LINE

NO. WORK ELEMENT

% OF

TOTAL JOB

% PREVIOUS

COMPLETION

% COMPLETED

THIS PERIOD

% COMPLETED

CUMULATIVE

TOTAL 100%

REMARKS

Contractor’s Report is accepted without further action

Contractor’s Report is accepted as amended

Contractor’s Report is rejected (variance over 5%)

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

The contractor has satisfactori ly completed the indicated percentage of the contract in accordance with contract specif ications.

SUBMITTED BY OR FOR

CONTRACTOR BASE CIVIL ENGINEER

TYPE OR PRINT NAME AND TITLE SIGNATURE & DATE

REVIEWED BY OR FOR CONTRACT CONSTRUCTION INSPECTOR

TYPE OR PRINT NAME AND TITLE SIGNATURE & DATE

REVIEWED BY OR FOR CONTRACTING OFFICER

TYPE OR PRINT NAME AND TITLE SIGNATURE & DATE