Attachment F BLANK SAMPLE AF Form 3064.xlsx
XLSX spreadsheet 52 KB Posted
- Attached to
- Robins AFB Paving Multi-Award IDIQ
- Solicitation number
- FA850126R0004
About this file
This file is a blank sample template for AF Form 3064 (Contract Progress Schedule) and AF Form 3065 (Contract Progress Report), standard Air Force forms used for construction and project tracking purposes.
The AF Form 3064 is designed to track contract progress schedules for construction projects, with fields for contract number, project title, starting and completion dates, purchase request number, project number, actual start and completion dates, and a detailed work breakdown structure organized by construction divisions (general requirements, existing conditions, concrete, masonry, metals, wood/plastics, thermal/moisture protection, openings, and additional line items). The form includes monthly progress tracking columns and percentage completion calculations. The AF Form 3065 is a corresponding progress report form used to document work element percentages, completion percentages for the reporting period, and cumulative completion percentages, with signature lines for the project manager, contracting officer, and contractor. Both forms reference Robins Air Force Base, Georgia and contain standard OMB approval numbers (0704-0188). As a blank template with placeholder information (such as contract number FA8501-XX-X-XXXX and various error values), this file serves as a guide for contractors responding to the Robins AFB Paving Multi-Award IDIQ solicitation (FA850126R0004) to understand the required progress reporting and scheduling documentation format that will be needed during contract performance.
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Text version
AF Form 3064 CONTRACT PROGRESS SCHEDULE (See Contractor's Instructions on Reverse) Form Approved OMB NO. 0704-0188
| 1. CONTRACT NO. | 8. PROJECT TITLE | 10. APPROVAL RECOMMENDED BY | |
| FA8501-XX-X-XXXX | Project Title, Robins AFB, GA | DATE SIGNED | INSTALLATION'S ENGINEER'S SIGNATURE |
| 2. STARTING DATE/ NTP | X/XX/2017 | 9. SUBMITTED BY: | ||||||||||||
| 3. COMPLETION DATE | ERROR:#VALUE! | DATE SIGNED | CONTRACTOR'S NAME (LAST, FIRST, I) ADDRESS (STREET, CITY, STATE, ZIP) | CONTRACTOR'S SIGNATURE | 11. APPROVED BY | |||||||||
| 4. PURCHASE REQUEST NO. | DATE SIGNED | CONTRACTING OFFICER'S SIGNATURE | ||||||||||||
| 5. PROJECT NO. | XXXXXX | |||||||||||||
| 6. ACTUAL STARTING DATE | X/XX/2017 | |||||||||||||
| 7. ACTUAL COMP DATE | ||||||||||||||
| LINE NO. | WORK ELEMENTS | XXXXXX.XX | % | |||||||||||
| A | XXXXX.XX | Aug | Sep | Oct | Nov | Dec | Jan | Feb | Mar | X/X/2017 | ||||
| 1 | DIVISION 1 General requirements | |||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 2 | DIVISION 2 Exiting conditions | |||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 3 | DIVISION 3 Concrete | |||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 4 | DIVISION 4 Masonry | |||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 5 | DIVISION 5 Metals | |||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 6 | DIVISION 6 Wood, plastics and composites | |||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 7 | DIVISION 7 Thermal and moisture protection | |||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 8 | DIVISION 8 Openings | |||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 9 | ETC…. | ETC…… | ||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 10 | ||||||||||||||
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| Total | 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% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | ERROR:#VALUE! | |||||
| 37 | CLIN 2 | |||||||||||||
| Fence | 20 | 2.17% | ERROR:#VALUE! | |||||||||||
| ERROR:#VALUE! |
&"Arial,Bold"&8AF FORM 3064, JUN 90 &"Arial,Bold Italic"&6 PREVIOUST EDITION IS OBSOLETE
AF Form 3065
CONTRACT PROGRESS REPORT OMB NO. 0704-0188
| CONTRACTOR | ADDRESS | ||||||||
| 0 | |||||||||
| 0 | |||||||||
| REPORT NO. | PERIOD COVERED | PROJECT NO. | CONTRACT NO. | COMPLETION DATE | |||||
| 1 | FROM: | TO: | XXXXXX | FA8501-XX-X-XXXX | |||||
| LINE NO. | WORK ELEMENT | % OF TOTAL JOB | % COMPLETED THIS PERIOD | % COMPLETED CUMULATIVE | |||||
| 1 | 0.00% | 0.00% | 0.00% | ||||||
| 2 | 0.00% | 0.00% | 0.00% | ||||||
| 3 | 0.00% | 0.00% | 0.00% | ||||||
| 4 | 0.00% | 0.00% | 0.00% | ||||||
| 5 | 0.00% | 0.00% | 0.00% | ||||||
| 6 | 0.00% | 0.00% | 0.00% | ||||||
| 7 | 0.00% | 0.00% | 0.00% | ||||||
| 8 | 0.00% | 0.00% | 0.00% | ||||||
| 9 | 0.00% | 0.00% | 0.00% | ||||||
| 10 | 0.00% | 0.00% | 0.00% | ||||||
| 11 | 0.00% | 0.00% | 0.00% | ||||||
| 12 | 0.00% | 0.00% | 0.00% | ||||||
| 13 | 0.00% | 0.00% | 0.00% | ||||||
| 14 | 0.00% | 0.00% | 0.00% | ||||||
| 15 | 0.00% | 0.00% | 0.00% | ||||||
| 16 | 0.00% | 0.00% | 0.00% | ||||||
| 17 | 0.00% | 0.00% | 0.00% | ||||||
| 18 | 0.00% | 0.00% | 0.00% | ||||||
| 19 | 0.00% | 0.00% | 0.00% | ||||||
| 20 | 0.00% | 0.00% | 0.00% | ||||||
| 21 | 0.00% | 0.00% | 0.00% | ||||||
| 22 | 0.00% | 0.00% | 0.00% | ||||||
| 23 | 0.00% | 0.00% | 0.00% | ||||||
| 24 | 0.00% | 0.00% | 0.00% | ||||||
| 25 | 0.00% | 0.00% | 0.00% | ||||||
| 26 | 0.00% | 0.00% | 0.00% | ||||||
| 27 | 0.00% | 0.00% | 0.00% | ||||||
| 28 | 0.00% | 0.00% | 0.00% | ||||||
| 29 | 0.00% | 0.00% | 0.00% | ||||||
| 30 | 0.00% | 0.00% | 0.00% | ||||||
| 31 | 0.00% | 0.00% | 0.00% | ||||||
| 32 | 0.00% | 0.00% | 0.00% | ||||||
| 33 | 0.00% | 0.00% | 0.00% | ||||||
| 34 | 0.00% | 0.00% | 0.00% | ||||||
| 35 | 0.00% | 0.00% | 0.00% | ||||||
| 36 | 0.00% | 0.00% | 0.00% | ||||||
| 37 | 0.00% | 0.00% | 0.00% | ||||||
| 38 | 0.00% | 0.00% | 0.00% | ||||||
| 39 | 0.00% | 0.00% | 0.00% | ||||||
| 40 | 0.00% | 0.00% | 0.00% | ||||||
| 41 | 0.00% | 0.00% | 0.00% | ||||||
| 42 | 0.00% | 0.00% | 0.00% | ||||||
| 43 | 0.00% | 0.00% | 0.00% | ||||||
| 44 | 0.00% | 0.00% | 0.00% | ||||||
| TOTAL | 0% | 0% | 0% | ||||||
| REMARKS | |||||||||
| Construction Inspector: Print Name ______________________ Signature: | |||||||||
| Date |
| At the Contracting 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 specs. | ||
| SUBMITTED BY OR FOR |
| TYPED NAME AND TITLE | SIGNATURE | DATE |
| Project Manager |
| REVIEWED BY OR FOR CONTRACTING OFFICER | ||
| TYPED NAME AND TITLE | SIGNATURE | DATE |
CONTRACTOR
78th CIVIL ENGINEERS
Sheet1
| % COMPLETED THIS PERIOD |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| ERROR:#REF! |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| ERROR:#REF! |
Sheet2
Microsoft_Word_97_-_2003_Document.doc 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 the collection of information including suggestions for reducing this burden in Department of Defense, Washington Headquarters Service. Directorate for information Operations and Report. 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22292-4302, and to the Office of Management and Budget, Paperwork Reduction Project 0704-0188, Washington, DC 20503. Please DON NOT RETURN your (form questionnaire) to either of these addresses. Send your completed (form questionnaire) to: SAF AQCO, Washington, DC 20330-1000.
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