17-R-0011_WAFB_CATM_Attch_5_AF_3065,_Progress_Report_Blank.xlsx

XLSX spreadsheet 16 KB Posted

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CATM Remodel
Solicitation number
FA4625-17-R-0011
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Attachment 5 - Progress Report

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Sheet1

CONTRACT PROGRESS REPORT OMB NO. 0704-0188

Public reporting burden for the collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing datasources, gathering and maintaining the data needed, and completing and
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 of Defence, 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/AOCO, 1060 Air Force Pentagon, Washington DC 20330-1060
CONTRACTORADDRESS
REPORTPERIOD COVEREDPROJECT NO.CONTRACT NO.COMPLETION DATE
NO.FROM:TO:
LINE NO.WORK ELEMENT% OF% COMPLETED% COMPLETED
TOTAL JOBTHIS PERIODCUMULATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
TOTAL0.00%0.00%0.00%
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 OR FOR
CONTRACTORBASE CIVIL ENGINEER
TYPE OR PRINT NAME AND TITLESIGNATUREDATE
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLESIGNATUREDATE

AF IMT 3065, 19960401, V1 PREVIOUS EDITION IS OBSOLETE.

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