BLANK SAMPLE AF Form 3065.xlsx

XLSX spreadsheet 51 KB Posted

Attached to
Civil Engineering Multiple Award Construction Contract III, IDIQ Federal contract opportunity
Solicitation number
FA8501-22-R0023
Issued by
Department of the Air Force Materiel Command Air Force Sustainment Center

About this file

Written by GovTribe AI ·

This document contains a federal contract opportunity for the Civil Engineering Multiple Award Construction Contract III indefinite delivery, indefinite quantity contract along with an associated AF Form 3064 contract progress schedule template.

The Air Force Sustainment Center at Robins Air Force Base, Georgia is seeking proposals from service-disabled veteran owned small businesses for an indefinite delivery, indefinite quantity construction contract with a maximum value of $300 million over five years. Individual task orders will range from $150,000 to $2 million for general construction projects at Robins AFB, Georgia such as maintenance, repair, alteration, mechanical, electrical, heating/air conditioning, demolition, painting, and earthwork. The North American Industry Classification System code is 236220 and the small business size standard is $36.5 million. The base period of performance is one year with four additional one-year options. Award will be made to multiple awardees using low price with special standards of responsibility. The closing date for proposals is not provided in this document.

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AF Form 3064 CONTRACT PROGRESS SCHEDULE (See Contractor's Instructions on Reverse) Form Approved OMB NO. 0704-0188

1. CONTRACT NO.8. PROJECT TITLE10. APPROVAL RECOMMENDED BY
FA8501-XX-X-XXXXProject Title, Robins AFB, GADATE SIGNEDINSTALLATION'S ENGINEER'S SIGNATURE
2. STARTING DATE/ NTPX/XX/20179. SUBMITTED BY:
3. COMPLETION DATEERROR:#VALUE!DATE SIGNEDCONTRACTOR'S NAME (LAST, FIRST, I) ADDRESS (STREET, CITY, STATE, ZIP)CONTRACTOR'S SIGNATURE11. APPROVED BY
4. PURCHASE REQUEST NO.DATE SIGNEDCONTRACTING OFFICER'S SIGNATURE
5. PROJECT NO.XXXXXX
6. ACTUAL STARTING DATEX/XX/2017
7. ACTUAL COMP DATE
LINE NO.WORK ELEMENTSXXXXXX.XX%
AXXXXX.XXAugSepOctNovDecJanFebMarX/X/2017
1CLIN 1
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Total0.00%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!
37CLIN 2
Fence202.17%ERROR:#VALUE!
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&"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

CONTRACTORADDRESS
0
0
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.COMPLETION DATE
1FROM:TO:XXXXXXFA8501-XX-X-XXXX
LINE NO.WORK ELEMENT% OF TOTAL JOB% COMPLETED THIS PERIOD% COMPLETED CUMULATIVE
10.00%0.00%0.00%
20.00%0.00%0.00%
30.00%0.00%0.00%
40.00%0.00%0.00%
50.00%0.00%0.00%
60.00%0.00%0.00%
70.00%0.00%0.00%
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260.00%0.00%0.00%
270.00%0.00%0.00%
280.00%0.00%0.00%
290.00%0.00%0.00%
300.00%0.00%0.00%
310.00%0.00%0.00%
320.00%0.00%0.00%
330.00%0.00%0.00%
340.00%0.00%0.00%
350.00%0.00%0.00%
360.00%0.00%0.00%
370.00%0.00%0.00%
380.00%0.00%0.00%
390.00%0.00%0.00%
400.00%0.00%0.00%
410.00%0.00%0.00%
420.00%0.00%0.00%
430.00%0.00%0.00%
440.00%0.00%0.00%
TOTAL0%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 TITLESIGNATUREDATE
Project Manager
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPED NAME AND TITLESIGNATUREDATE

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_Document1.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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