Attachment_25_-_AF_Form_3065.pdf
PDF 63 KB Posted
- Attached to
- Simplified Acquisition Base Engineer Requirements (SABER) IDIQ Federal contract opportunity
- Solicitation number
- FA441719RA002
About this file
This document contains a contract progress report template and information on a related federal contract opportunity. The contract progress report template is a 15-page form used by contractors to report on the percentage of work completed for various elements on a federal contract over designated periods. It includes spaces for the contractor and contract details, progress percentages by line item for the reporting period and cumulatively, and certifications from the contractor and contracting officer.
The related federal contract opportunity is a notice for the Simplified Acquisition Base Engineer Requirements Indefinite Delivery Indefinite Quantity contract out of Hurlburt Field, Florida. The solicitation was issued by the Department of the Air Force Special Operations Command for general engineering requirements. No further details are provided on products, services, response dates or value of the opportunity.
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Text version
OMB NO. 0704-0188CONTRACT PROGRESS REPORT
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, Washington Headquarters Services, Directorate for Information Operations and Reports (OMB No. 9000-0058), 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number.
PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. RETURN COMPLETED FORM TO : SAF/AQCO, 1060 Air Force Pentagon, Washington DC 20330-1060.
CONTRACTOR ADDRESS
REPORT NO. PERIOD COVERED
FROM:
PROJECT NO. CONTRACT NO. COMPLETION DATE
TO:
LINE
NO.
% OF
TOTAL JOB
% COMPLETED
THIS PERIOD
% COMPLETED
CUMULATIVE
WORK ELEMENT
TOTAL
REMARKS
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.
SUBMITTED BY CONTRACTOR
TYPE OR PRINT NAME AND TITLE SIGNATURE DATE
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE SIGNATURE DATE
AF IMT 3065 PREVIOUS EDITION IS OBSOLETE.
Concur Do Not Concur
Schedule %: __________ Acutual %: __________
CE COR Typed Name
CE COR Signature
PAGE OF
| CONTRACTOR: |
| ADDRESS: |
| REPORT NO: |
| FROM: |
| TO: |
| PROJECT NO: |
| CONTRACT NO: |
| COMPLETION DATE: |
| LINE NORow1: |
| WORK ELEMENTRow1: |
| OF TOTAL JOBRow1: |
| COMPLETED THIS PERIODRow1: |
| COMPLETED CUMULATIVERow1: |
| LINE NORow2: |
| WORK ELEMENTRow2: |
| OF TOTAL JOBRow2: |
| COMPLETED THIS PERIODRow2: |
| COMPLETED CUMULATIVERow2: |
| LINE NORow3: |
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| COMPLETED THIS PERIODRow3: |
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| LINE NORow15: |
| WORK ELEMENTRow15: |
| OF TOTAL JOBRow15: |
| COMPLETED THIS PERIODRow15: |
| COMPLETED CUMULATIVERow15: |
| OF TOTAL JOBTOTAL: |
| COMPLETED THIS PERIODTOTAL: |
| COMPLETED CUMULATIVETOTAL: |
| REMARKS: |
| TYPE OR PRINT NAME AND TITLE: |
| DATE: |
| TYPE OR PRINT NAME AND TITLE_2: |
| DATE_2: |
| Check Box3: Off |
| Check Box4: Off |
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