Attachment 8 AF 3064 - 3065.xlsx

XLSX spreadsheet 2 MB Posted

Attached to
Ammo Phase III Federal contract opportunity
Solicitation number
FA481922R0028
Issued by
Department of the Air Force Air Combat Command

About this file

This solicitation is for a Design-Build project to repair and restore interior and exterior elements of two buildings at Tyndall Air Force Base. The Department of the Air Force Air Combat Command is seeking to demo, repair and restore building 7028 and 7042 that comprise the Munitions Squadron's secured area. The Design-Build Team will consist of a construction firm and Designer of Record to perform the services outlined in the Statement of Work, including repair and renovation work on the buildings and related disciplines specified as tasks in the Scope of Work appendix.

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AF 66

SCHEDULE OF MATERIAL SUBMITTALSPROJECT NUMBERPROJECT TITLESOLICITATION/CONTRACT NO.
XLWU 20-0000PROJECT TITLE, TYNDALL AFB, FLFA4819-19-C-A0000
TO BE COMPLETED BY PROJECT ENGINEERTO BE COMPLETED BY CONTRACT ADMINISTRATOR
NO. OF COPIES REQUIRED
LINE NUMBERITEM OR DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTALCERTIFICATEOF COMPLIANCESHOP DRAWINGSSAMPLESCOLOR SELECTIONMANUFACTURER'SRECOMMENDATIONSMANUFACTURER'SWARRANTYCATALOG DATAOPERATINGINSTRUCTIONSAS-BUILT DRAWINGS& DISKDOCUMENTATION ASREQUIREDREQUIRED SUBMISSION DATEDATE RECEIVED IN CONTRACTINGDATE TO CIVIL ENGINEERINGRETURN SUSPENSE DATESUBMITTAL NUMBERSDATE CONTRACTOR NOTIFIEDCONTRACTOR RESUBMITTALFINAL APPROVALREMARKS
APPROVEDDISAPPROVED
1Kick-Off Meeting1Award + 7 Days
2Meeting Minutes (All Meetings)1Meeting + 2 Days
3Contractor Badging Applications1Award + 14 Days
4Project Schedule - AF Form 30641At Kick-Off Meeting
5Work Clearance Request / Digging Permit - AF Form 103110 Days Prior to Commencing Work
6HAZMAT Inventory Form 81 & 82114 Days Prior to Commencing Work
7Progress Report - AF Form 30651Weekly
8Material Approval - AF Form 30001111115 Days Prior to Order
9Permits Regulatory Documentation114 Days Prior to Commencing Work
10Construction Materials Testing Reports1Upon Receipt
11Welding/Burn Permit - As Required1Prior to Commencing Work
12Draft DD 1354 - Transfer & Acceptance of Military Real Property1NTP +30 Days
13Pre-Final Inspection Report1Pre-Final + 3 Days
14Contractor Environmental Reporting Entry - TAFB Form 831Prior to Final Inspection
15Equipment Manuals and Parts Lists1Prior to Final Inspection
16Final DD 1354 - Transfer & Acceptance of Military Real Property1At Final Inspection
17Final Inspection Report1Final Inspection + 5 Days
18As-Built Drawings1Final Inspection + 7 Days
19Project Close Out Documents111111Final Inspection + 7 Days

&"Arial,Bold"&12AF Form 66

AF 3064

PRINTING TIPS:Print to Settings -Select Landscape Orientation; Paper Size Tabloid 11x17; Fit All Rows on One Page.OTHER TIPS:Spread sheet is locked. If edits are required, you can unprotect sheet in the Review tab above (leave password blank).
If above does not print properly, try adjusting using a custom scale between 55% and 65%
CONTRACT PROGRESS SCHEDULEForm Approved
OMB NO. 0704-0188 ALT
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 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 Department Defense of Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project 0704-0188. Washington DC 20503. Please DO NOT RETURN your (form questionnaire) to either of these addresses. Send your completed (form questionnaire) to: SAF AQCO. Washington DC 20330-1000.
1. AWARD DATE :6-Oct-209. PROJECT TITLE:PROJECT TITLE, TYNDALL AFB, FL15. APPROVAL RECOMMENDED BY:17. CONTRACT MODIFICATION:$0.000
2. AWARD AMOUNT :$350,000.0010. CONTRACT NO :FA4819-19-C-A000011. PROJECT NO :XLWU 20-0000DATE SIGNEDINSTALLATIONS ENGINEERS' SIGNATURE17a. MODIFICATION NO. :DATE :
3. NTP POP START DATE :20-Oct-2012. SUBMITTED BY :John DoeGOV ONLYGOV ONLYCOST :DAYS :
4. PERIOD OF PERFORMANCE :60DAYS13. CONTRACTOR NAME :John Doe Construction, Inc.17b. MODIFICATION NO. :DATE :
5. SCHEDULED STARTING DATE :20-Oct-2012/19/20ADDRESS :1111 US-9816. APPROVED BY:COST :DAYS :
6. ACTUAL STARTING DATE :20-Oct-20CITY, STATE, ZIP :Panama CityFlorida32405DATE SIGNEDCONTRACTING OFFICER'S SIGNATURE17c. MODIFICATION NO. :DATE :
7. SCHEDULED COMPLETION DATE :19-Dec-2014. CONTRACTOR'S(SIGNATURE)(DATE)GOV ONLYGOV ONLYCOST :DAYS :
8. ACTUAL COMPLETION DATE :Fill When CompleteSIGNATUREMODIFIED CONTRACT VALUES:$350,000.00COMPLETION DATE :19-Dec-20
OctNovDecJanFebMarAprMayJun
LINE NO.WORK ELEMENTSLINE ITEM COST%19-Oct26-Oct2-Nov9-Nov16-Nov23-Nov30-Nov7-Dec14-Dec21-Dec28-Dec4-Jan11-Jan18-Jan25-Jan1-Feb8-Feb15-Feb22-Feb1-Mar8-Mar15-Mar22-Mar29-Mar5-Apr12-Apr19-Apr26-Apr3-May10-May17-May24-May31-May7-Jun14-Jun
ABCD25-Oct1-Nov8-Nov15-Nov22-Nov29-Nov6-Dec13-Dec20-Dec27-Dec3-Jan10-Jan17-Jan24-Jan31-Jan7-Feb14-Feb21-Feb28-Feb7-Mar14-Mar21-Mar28-Mar4-Apr11-Apr18-Apr25-Apr2-May9-May16-May23-May30-May6-Jun13-Jun20-Jun
0.00%1Bonds
SHARKEY, KEVIN M GS-12 USAF ACC 325 CES/CENMP: Line items should be selected that are simple and verifyable. This is not a project take off line item list$ 7,000.002.00%
SHARKEY, KEVIN M GS-12 USAF ACC 325 CES/CENMP: Input percentage values that result in actual line item costsScheduled2.00%
2.00%0.00%Actual2.00%
0.00%2Survey & Geotech$ 10,500.003.00%Scheduled1.50%1.50%
3.00%0.00%Actual1.50%1.50%
0.00%3(Task 1) Design$ 21,000.006.00%Scheduled2.00%2.00%2.00%
6.00%0.00%Actual1.00%2.00%3.00%
0.00%4(Task 2) Demolition$ 63,000.0018.00%Scheduled6.00%6.00%6.00%
18.00%-0.00%Actual2.00%6.00%6.00%4.00%
-0.00%5(Task 2) Site Preperation$ 42,000.0012.00%Scheduled2.00%5.00%5.00%
12.00%-0.00%Actual2.00%5.00%5.00%
0.00%6(Task 2) Utility Service Installation$ 21,000.006.00%Scheduled3.00%3.00%
6.00%0.00%Actual3.00%3.00%
0.00%7(Task 2) Install Foundation$ 21,000.006.00%Scheduled6.00%
6.00%0.00%Actual6.00%
0.00%8(Task 2) Install Vertical Structure$ 80,500.0023.00%Scheduled5.00%5.00%5.00%5.00%3.00%
23.00%0.00%Actual5.00%5.00%5.00%5.00%3.00%
0.00%9(Task 3) Install Parking Lot Base Material$ 21,000.006.00%Scheduled6.00%
6.00%0.00%Actual6.00%
0.00%10(Task 3) Install Parking Lot Asphalt Pavement$ 52,500.0015.00%Scheduled15.00%
15.00%0.00%Actual15.00%
0.00%11(Task 3) Install Parking Lot Pavement Markings$ 3,500.001.00%Scheduled1.00%
1.00%0.00%Actual1.00%
0.00%12Demobilization$ 7,000.002.00%Scheduled2.00%
2.00%0.00%Actual2.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
0.00%$ - 0
0.00%
350,000.000.00%2.00%1.50%1.50%2.00%2.00%2.00%0.00%6.00%6.00%8.00%5.00%8.00%3.00%6.00%5.00%5.00%5.00%5.00%9.00%16.00%2.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%
Scheduled0.00%2.00%3.50%5.00%7.00%9.00%11.00%11.00%17.00%23.00%31.00%36.00%44.00%47.00%53.00%58.00%63.00%68.00%73.00%82.00%98.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
PROJECT PERCENTAGE TOTAL (SUMS TO 100%)100.0%

SHARKEY, KEVIN M GS-12 USAF ACC 325 CES/CENMP: Values in this column should sum to 100.000% otherwise, an error will flag

SHARKEY, KEVIN M GS-12 USAF ACC 325 CES/CENMP: Input percentage values that result in actual line item costs0.00%2.00%1.50%1.50%1.00%2.00%3.00%2.00%6.00%6.00%6.00%5.00%8.00%3.00%6.00%5.00%5.00%5.00%5.00%9.00%16.00%2.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%0.00%
Actual0.00%2.00%3.50%5.00%6.00%8.00%11.00%13.00%19.00%25.00%31.00%36.00%44.00%47.00%53.00%58.00%63.00%68.00%73.00%82.00%98.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%100.00%
AF Form 3064, JUN 90 PREVIOUS EDITION IS OBSOLETEPROGRESS CHART

44151 44158 44165 44172 44179 44186 44193 44200 44207 44214 44221 44228 44235 44242 44249 44256 44263 44270 44277 44284 44291 44298 44305 44312 44319 44326 44333 44340 44347 44354 44361 0 0.02 3.5000000000000003E-2 0.05 7.0000000000000007E-2 9.0000000000000011E-2 0.11000000000000001 0.11000000000000001 0.17 0.23 0.31 0.36 0.44 0.47 0.53 0.58000000000000007 0.63000000000000012 0.68000000000000016 0.7300000000000002 0.82000000000000017 0.9800000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 44151 44158 44165 44172 44179 44186 44193 44200 44207 44214 44221 44228 44235 44242 44249 44256 44263 44270 44277 44284 44291 44298 44305 44312 44319 44326 44333 44340 44347 44354 44361 0 0.02 3.5000000000000003E-2 0.05 6.0000000000000005E-2 0.08 0.11 0.13 0.19 0.25 0.31 0.36 0.44 0.47 0.53 0.58000000000000007 0.63000000000000012 0.68000000000000016 0.7300000000000002 0.82000000000000017 0.9800000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002 1.0000000000000002

AF 3065 (1)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
1From:19-Oct-20To:25-Oct-20XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%

2 Survey & Geotech 3.00%

3 (Task 1) Design 6.00%

4 (Task 2) Demolition 18.00%

5 (Task 2) Site Preperation 12.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%0.00%0.00%
REMARKSSCHEDULED:0.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(2)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
2From:26-Oct-20To:1-Nov-20XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%2.00%2.00%

2 Survey & Geotech 3.00%

3 (Task 1) Design 6.00%

4 (Task 2) Demolition 18.00%

5 (Task 2) Site Preperation 12.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%2.00%2.00%
REMARKSSCHEDULED:2.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(3)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
3From:2-Nov-20To:8-Nov-20XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 1.50% 1.50%

3 (Task 1) Design 6.00%

4 (Task 2) Demolition 18.00%

5 (Task 2) Site Preperation 12.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%1.50%3.50%
REMARKSSCHEDULED:3.50%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(4)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
4From:9-Nov-20To:15-Nov-20XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 1.50% 3.00%

3 (Task 1) Design 6.00%

4 (Task 2) Demolition 18.00%

5 (Task 2) Site Preperation 12.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%1.50%5.00%
REMARKSSCHEDULED:5.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(5)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
5From:16-Nov-20To:22-Nov-20XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 0.00% 3.00%

3 (Task 1) Design 6.00% 1.00% 1.00%

4 (Task 2) Demolition 18.00%

5 (Task 2) Site Preperation 12.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%1.00%6.00%
REMARKSSCHEDULED:7.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(6)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
6From:23-Nov-20To:29-Nov-20XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 0.00% 3.00%

3 (Task 1) Design 6.00% 2.00% 3.00%

4 (Task 2) Demolition 18.00%

5 (Task 2) Site Preperation 12.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%2.00%8.00%
REMARKSSCHEDULED:9.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(7)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
7From:30-Nov-20To:6-Dec-20XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 0.00% 3.00%

3 (Task 1) Design 6.00% 3.00% 6.00%

4 (Task 2) Demolition 18.00%

5 (Task 2) Site Preperation 12.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%3.00%11.00%
REMARKSSCHEDULED:11.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(8)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
8From:7-Dec-20To:13-Dec-20XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 0.00% 3.00%

3 (Task 1) Design 6.00% 0.00% 6.00%

4 (Task 2) Demolition 18.00% 2.00% 2.00%

5 (Task 2) Site Preperation 12.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%2.00%13.00%
REMARKSSCHEDULED:11.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(9)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
9From:14-Dec-20To:20-Dec-20XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 0.00% 3.00%

3 (Task 1) Design 6.00% 0.00% 6.00%

4 (Task 2) Demolition 18.00% 6.00% 8.00%

5 (Task 2) Site Preperation 12.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%6.00%19.00%
REMARKSSCHEDULED:17.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(10)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
10From:21-Dec-20To:27-Dec-20XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 0.00% 3.00%

3 (Task 1) Design 6.00% 0.00% 6.00%

4 (Task 2) Demolition 18.00% 6.00% 14.00%

5 (Task 2) Site Preperation 12.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%6.00%25.00%
REMARKSSCHEDULED:23.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(11)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
11From:28-Dec-20To:3-Jan-21XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 0.00% 3.00%

3 (Task 1) Design 6.00% 0.00% 6.00%

4 (Task 2) Demolition 18.00% 4.00% 18.00%

5 (Task 2) Site Preperation 12.00% 2.00% 2.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%6.00%31.00%
REMARKSSCHEDULED:31.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(12)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
12From:4-Jan-21To:10-Jan-21XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 0.00% 3.00%

3 (Task 1) Design 6.00% 0.00% 6.00%

4 (Task 2) Demolition 18.00% 0.00% 18.00%

5 (Task 2) Site Preperation 12.00% 5.00% 7.00%

6 (Task 2) Utility Service Installation 6.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%5.00%36.00%
REMARKSSCHEDULED:36.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(13)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, and to the Office of Management and Budget, Paperwork Reduction Project OMB No. 9000-0058, Washington DC 20503. Please DO NOT
RETURN your form to either of these addresses. Send your completed form to: SAF/AQCO, Pentagon, Washington DC 20330-1000.
CONTRACTORADDRESS
John Doe Construction, Inc.1111 US-98
Panama CityFlorida32405
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.SCHEDULED COMPLETION DATE
13From:11-Jan-21To:17-Jan-21XLWU 20-0000FA4819-19-C-A000019-Dec-20
LINEWORK ELEMENT% OF% COMPLETED% COMPLETED
NO.TOTAL JOBTHIS PERIODCUMULATIVE
1Bonds2.00%0.00%2.00%

2 Survey & Geotech 3.00% 0.00% 3.00%

3 (Task 1) Design 6.00% 0.00% 6.00%

4 (Task 2) Demolition 18.00% 0.00% 18.00%

5 (Task 2) Site Preperation 12.00% 5.00% 12.00%

6 (Task 2) Utility Service Installation 6.00% 3.00% 3.00%

7 (Task 2) Install Foundation 6.00%

8 (Task 2) Install Vertical Structure 23.00%

9 (Task 3) Install Parking Lot Base Material 6.00%

10 (Task 3) Install Parking Lot Asphalt Pavement 15.00%

11 (Task 3) Install Parking Lot Pavement Markings 1.00%

12 Demobilization 2.00%

TOTAL100.00%8.00%44.00%
REMARKSSCHEDULED:44.00%
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.
TYPE OR PRINT NAME AND TITLECONTRACTOR SIGNATUREDATE
Lemuel Campbell, Project Manager
Contractor:John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLECES SIGNATUREDATERecommend ApprovalYes / No
Inspector / COR:325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLECO SIGNATUREDATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(14)

DOCUMENT TRACKING - Do Not Print
DateRemarks
Submitted:
CE Review:
CONS Review:
Return to KTR:
CONTRACT PROGRESS REPORTForm Approved
OMB NO. 9000-0058
Expires March 31, 1993
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

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