Attachment 5 - AF FORM 3065 Contract Progress Report.pdf
PDF 107 KB Posted
- Attached to
- Security System Upgrades
- Solicitation number
- W911S825BA016
About this file
This document is a Contract Progress Report template used to track and document the percentage of completion for various work elements in a contract. The form allows contractors to report the percentage of total job, previous completion, completion in the current reporting period, and cumulative completion for each work element. The total must sum to 100%. The form includes sections for the contractor, contracting officer, and civil engineer to review and certify the progress, with checkboxes to indicate whether the report is accepted without action, accepted as amended, or rejected if there is a variance over 5%. The Contracting Officer may use this information to compute progress payments according to the contract's payment clause.
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Text version
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
| Contractors Report is accepted without further action: Off |
| Contractors Report is accepted as amended: Off |
| Contractors Report is rejected variance over 5: Off |
| FromDate: |
| ToDate: |
| Contractor: |
| Contractor Address: |
| Report Number: |
| Project Number: |
| Contract Number: |
| Completion Date: |
| Project Title: |
| Contractor Name and Title: |
| COR Name and Title: |
| Contracting Officer Name and Title: |
| Submitted By or For: Off |
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| Cumulative Percentage Row 1: 0 |
| Cumulative Percentage Row 2: 0 |
| Cumulative Percentage Row 3: 0 |
| Cumulative Percentage Row 4: 0 |
| Cumulative Percentage Row 5: 0 |
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| Cumulative Percentage Row 14: 0 |
| Cumulative Percentage Row 15: 0 |
| Cumulative Percentage Row 16: 0 |
| Cumulative Percentage Row 17: 0 |
| Previous Completion Percentage Total: 0 |
| Complete This Period Percentage Total: 0 |
| Complete Cumulative Percentage Total: 0 |
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