Atch_3_-_AF_3065_-_Progress_Report.pdf

REVIEWED BY OR FOR CONTRACTING OFFICER

TYPE OR PRINT NAME AND TITLE

TOTAL

TYPE OR PRINT NAME AND TITLE SIGNATURE DATE

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

TYPE OR PRINT NAME AND TITLE SIGNATURE DATE

CONTRACTOR BASE CIVIL ENGINEER

SIGNATURE DATE

REVIEWED BY OR FOR CIVIL ENGINEER

REMARKS:

_______ Contractor's Report is accepted without further action

_____ Contractor's Report is accepted as amended

Scheduled 0.00%

Actual 0.00%

_____ Contractor's Report is rejected. (Significant Variances of 5% or more)

0.0 0.0 0.0

% OF

TOTAL JOB

% COMPLETED

THIS PERIOD

LINE NO.

REPORT NO.

Contract Name/Title Work Element

FROM: TO:

% COMPLETED

CUMULATIVE

CONTRACT PROGRESS REPORT OMB NO. 9000-0058

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 to the Department of Defense, Washington Headquarters Services, Directorate for Information Operations and reports, 1215 Jefferson Davis Highway, Suite 1204 Arlington AV 22202-4302, 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.

PERIOD COVERED PROJECT - D/O NO. CONTRACT NO.

CONTRACTOR: ADDRESS:

COMPLETION DATE

X

AF FORM 3065, 19960401 (EF-V3) PREVIOUS EDITION IS OBSOLETE