Attachment 08 AF 3064_fillable.xlsx

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Attached to: Construct Park and Ride Area Federal contract opportunity
Solicitation number: FA481921R0016
Issued by: Department of the Air Force Air Combat Command

Written by GovTribe AI · Dec 28, 2023

This solicitation is for a design-build project to construct parking lots at Tyndall Air Force Base to support reconstruction efforts following damage from Hurricane Michael. The Air Force seeks a construction and design team to build parking areas outlined in an attached drawing to provide parking for construction vehicles working on rebuilding at the base as well as displaced employees. The selected offeror will perform the services described in the statement of work including serving as the designer of record. The soliciting agency is the Department of the Air Force Air Combat Command. The solicitation number is FA481921R0016 and responses are due by the date specified on the Federal Business Opportunities website.

Other files attached to Construct Park and Ride Area, newest first.
File	Type	Posted
Solicitation Amendment FA481921R00160004 SF 30.pdf	PDF	Aug 20, 2021
Solicitation Amendment - FA481921R00160004.pdf	PDF	Aug 20, 2021
Attachment 02 Appendix A - Revised 09Aug2021.pdf	PDF	Aug 20, 2021
Attachment 03 Appendix B Drawings V2 - Revised 09Aug2021.pdf	PDF	Aug 20, 2021
Solicitation Amendment FA481921R00160003 SF 30.pdf	PDF	Jul 16, 2021
Post Amendment 2 Questions.docx	DOCX document	Jul 16, 2021
Solicitation Amendment - FA481921R00160003.pdf	PDF	Jul 16, 2021
Attachment 14 Division Cost Estimate Worksheet.xls	XLS spreadsheet	Jul 16, 2021
Attachment 03 Appendix B Drawings V2.pdf	PDF	Jul 13, 2021
Park_Ride_RFI - Answers 12July21.xlsx	XLSX spreadsheet	Jul 13, 2021
Section L and M - Park and Ride.docx	DOCX document	Jul 13, 2021
Solicitation Amendment - FA481921R00160002.pdf	PDF	Jul 13, 2021
Attachment 15 Completed AF form 813 Construct Park and Ride.pdf	PDF	Jul 13, 2021
Site Visit Sign-In.pdf	PDF	Jul 9, 2021
Solicitation Amendment FA481921R00160001 SF 30.pdf	PDF	Jul 1, 2021
Attachment 03 Appendix B Drawings.pdf	PDF	Jun 30, 2021
RFP APPENDIX - B Construct Park and Ride Area_XLWU 21-4009_20Jan21v3.pdf	PDF	Jun 28, 2021
Solicitation FA481921R0016.pdf	PDF	Jun 10, 2021
Attachment 13 EAL.xlsx	XLSX spreadsheet	Jun 10, 2021
Attachment 08 AF 3064.pdf	PDF	Jun 10, 2021
Attachment 07 AF Form 3000.pdf	PDF	Jun 10, 2021
Attachment 02 Appendix A.pdf	PDF	Jun 10, 2021
Attachment 12 Wage Determination FL20210005.pdf	PDF	Jun 10, 2021
Attachment 01 Statement of Work.pdf	PDF	Jun 10, 2021
Attachment 10 Required Insurance_FY21.pdf	PDF	Jun 10, 2021
Attachment 09 AF3065.pdf	PDF	Jun 10, 2021
Attachment 04 Appendix C.xlsx	XLSX spreadsheet	Jun 10, 2021
Attachment 11 General Financial Information.pdf	PDF	Jun 10, 2021
Attachment 06 AF 66.pdf	PDF	Jun 10, 2021
Attachment 05 Discovery trifold July2020.pdf	PDF	Jun 10, 2021
Attachment 03 Appendix B Drawings.pdf	PDF	Jun 10, 2021

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CONTRACT PROGRESS SCHEDULE

Form Approved

OMB NO. 0704-0188 ALT

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 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 Department Defense of Washington Headquarters Services, Directorate for information Operations and Reports, 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22202-4302, and to the Office of Management and Budget, Paperwork Reduction Project 0704-0188. Washington DC 20503. Please DO 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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AF 66

SCHEDULE OF MATERIAL SUBMITTALS

PROJECT NUMBER

PROJECT TITLE

SOLICITATION/CONTRACT NO.

XLWU 20-0000

PROJECT TITLE, TYNDALL AFB, FL

FA4819-19-C-A0000

TO BE COMPLETED BY PROJECT ENGINEER

TO BE COMPLETED BY CONTRACT ADMINISTRATOR

NO. OF COPIES REQUIRED

LINE NUMBER

ITEM OR DESCRIPTION OF ITEM, CONTRACT REFERENCE, TYPE OF SUBMITTAL

CERTIFICATE

OF COMPLIANCE

SHOP DRAWINGS

SAMPLES

COLOR SELECTION

MANUFACTURER'S

RECOMMENDATIONS

MANUFACTURER'S

WARRANTY

CATALOG DATA

OPERATING

INSTRUCTIONS

AS-BUILT DRAWINGS

& DISK

DOCUMENTATION AS

REQUIRED

REQUIRED SUBMISSION DATE

DATE RECEIVED IN CONTRACTING

DATE TO CIVIL ENGINEERING

RETURN SUSPENSE DATE

SUBMITTAL NUMBERS

DATE CONTRACTOR NOTIFIED

CONTRACTOR RESUBMITTAL

FINAL APPROVAL

REMARKS

APPROVED

DISAPPROVED

Kick-Off Meeting

Award + 7 Days

Meeting Minutes (All Meetings)

Meeting + 2 Days

Contractor Badging Applications

Award + 14 Days

Project Schedule - AF Form 3064

At Kick-Off Meeting

Work Clearance Request / Digging Permit - AF Form 103

10 Days Prior to Commencing Work

HAZMAT Inventory Form 81 & 82

14 Days Prior to Commencing Work

Progress Report - AF Form 3065

Weekly

Material Approval - AF Form 3000

5 Days Prior to Order

Permits Regulatory Documentation

14 Days Prior to Commencing Work

Construction Materials Testing Reports

Upon Receipt

Welding/Burn Permit - As Required

Prior to Commencing Work

Draft DD 1354 - Transfer & Acceptance of Military Real Property

NTP +30 Days

Pre-Final Inspection Report

Pre-Final + 3 Days

Contractor Environmental Reporting Entry - TAFB Form 83

Prior to Final Inspection

Equipment Manuals and Parts Lists

Prior to Final Inspection

Final DD 1354 - Transfer & Acceptance of Military Real Property

At Final Inspection

Final Inspection Report

Final Inspection + 5 Days

As-Built Drawings

Final Inspection + 7 Days

Project Close Out Documents

Final Inspection + 7 Days

&"Arial,Bold"&12AF Form 66

AF 3064

		1. AWARD DATE :		6-Oct-20		9. PROJECT TITLE:		PROJECT TITLE, TYNDALL AFB, FL												15. APPROVAL RECOMMENDED BY:														17. CONTRACT MODIFICATION:				$0.00				0
		2. AWARD AMOUNT :		$350,000.00		10. CONTRACT NO :		FA4819-19-C-A0000					11. PROJECT NO :			XLWU 20-0000				DATE SIGNED		INSTALLATIONS ENGINEERS' SIGNATURE												17a. MODIFICATION NO. :							DATE :
		3. NTP POP START DATE :				12. SUBMITTED BY :		John Doe												GOV ONLY		GOV ONLY												COST :							DAYS :
		4. PERIOD OF PERFORMANCE :				13. CONTRACTOR NAME :		John Doe Construction, Inc.																										17b. MODIFICATION NO. :							DATE :
		5. SCHEDULED STARTING DATE :				ERROR	ADDRESS :	1111 US-98												16. APPROVED BY:														COST :							DAYS :
		6. ACTUAL STARTING DATE :				CITY, STATE, ZIP :		Panama City							Florida			32405		DATE SIGNED		CONTRACTING OFFICER'S SIGNATURE												17c. MODIFICATION NO. :							DATE :
		7. SCHEDULED COMPLETION DATE :				14. CONTRACTOR'S		(SIGNATURE)								(DATE)				GOV ONLY		GOV ONLY												COST :							DAYS :
		8. ACTUAL COMPLETION DATE :			Fill When Complete	SIGNATURE																												MODIFIED CONTRACT VALUES:				$350,000.00		COMPLETION DATE :			ERROR:#VALUE!
										-5.0	ERROR:#NUM!					Feb				Mar				Apr					May				Jun				Jul					Aug
		LINE NO.	WORK ELEMENTS				LINE ITEM COST	%		-5.0	2-Jan	9-Jan	16-Jan	23-Jan	30-Jan	6-Feb	13-Feb	20-Feb	27-Feb	5-Mar	12-Mar	19-Mar	26-Mar	2-Apr	9-Apr	16-Apr	23-Apr	30-Apr	7-May	14-May	21-May	28-May	4-Jun	11-Jun	18-Jun	25-Jun	2-Jul	9-Jul	16-Jul	23-Jul	30-Jul	6-Aug	13-Aug	20-Aug
		A	B				C	D		1-Jan	8-Jan	15-Jan	22-Jan	29-Jan	5-Feb	12-Feb	19-Feb	26-Feb	4-Mar	11-Mar	18-Mar	25-Mar	1-Apr	8-Apr	15-Apr	22-Apr	29-Apr	6-May	13-May	20-May	27-May	3-Jun	10-Jun	17-Jun	24-Jun	1-Jul	8-Jul	15-Jul	22-Jul	29-Jul	5-Aug	12-Aug	19-Aug	26-Aug
	0.00%	1	Bonds
SHARKEY, KEVIN M GS-12 USAF ACC 325 CES/CENMP: Line items should be selected that are simple and verifyable. This is not a project take off line item list						Scheduled
	0.00%								Actual
	0.00%	2	Survey & Geotech						Scheduled
	0.00%								Actual
	0.00%	3	(Task 1) Design						Scheduled
	0.00%								Actual
	0.00%	4	(Task 2) Demolition						Scheduled
	0.00%								Actual
	0.00%	5	(Task 2) Site Preperation						Scheduled
	0.00%								Actual
	0.00%	6	(Task 2) Utility Service Installation						Scheduled
	0.00%								Actual
	0.00%	7	(Task 2) Install Foundation						Scheduled
	0.00%								Actual
	0.00%	8	(Task 2) Install Vertical Structure						Scheduled
	0.00%								Actual
	0.00%	9	(Task 3) Install Parking Lot Base Material						Scheduled
	0.00%								Actual
	0.00%	10	(Task 3) Install Parking Lot Asphalt Pavement						Scheduled
	0.00%								Actual
	0.00%	11	(Task 3) Install Parking Lot Pavement Markings						Scheduled
	0.00%								Actual
	0.00%	12	Demobilization						Scheduled
	0.00%								Actual
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	0.00%
	0.00%						$ - 0
	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%	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%
									Scheduled	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%	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%
			PROJECT PERCENTAGE TOTAL (SUMS TO 100%)					0.0%

SHARKEY, KEVIN M GS-12 USAF ACC 325 CES/CENMP: Values in this column should sum to 100.000% otherwise, an error will flag

SHARKEY, KEVIN M GS-12 USAF ACC 325 CES/CENMP: Input percentage values that result in actual line item costs	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%	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%
												Actual	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%	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%
		AF Form 3064, JUN 90 PREVIOUS EDITION IS OBSOLETE										PROGRESS CHART

23 30 37 44 51 58 65 72 79 86 93 100 107 114 121 128 135 142 149 156 163 170 177 184 191 198 205 212 219 226 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 30 37 44 51 58 65 72 79 86 93 100 107 114 121 128 135 142 149 156 163 170 177 184 191 198 205 212 219 226 233 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

AF 3065 (1)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
1		From:	-5.0	To:	1-Jan-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(2)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
2		From:	2-Jan-00	To:	8-Jan-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(3)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
3		From:	9-Jan-00	To:	15-Jan-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(4)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
4		From:	16-Jan-00	To:	22-Jan-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(5)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
5		From:	23-Jan-00	To:	29-Jan-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(6)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
6		From:	30-Jan-00	To:	5-Feb-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(7)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
7		From:	6-Feb-00	To:	12-Feb-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(8)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
8		From:	13-Feb-00	To:	19-Feb-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(9)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
9		From:	20-Feb-00	To:	26-Feb-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(10)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
10		From:	27-Feb-00	To:	4-Mar-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(11)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
11		From:	5-Mar-00	To:	11-Mar-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(12)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
12		From:	12-Mar-00	To:	18-Mar-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(13)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
13		From:	19-Mar-00	To:	25-Mar-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(14)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT									Form Approved
									OMB NO. 9000-0058
									Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR							ADDRESS
John Doe Construction, Inc.							1111 US-98
							Panama City			Florida	32405
REPORT NO.		PERIOD COVERED				PROJECT NO.	CONTRACT NO.			SCHEDULED COMPLETION DATE
14		From:	26-Mar-00	To:	1-Apr-00	XLWU 20-0000	FA4819-19-C-A0000			31-Dec-99
LINE	WORK ELEMENT							% OF	% COMPLETED		% COMPLETED
NO.								TOTAL JOB	THIS PERIOD		CUMULATIVE
1	Bonds

2 Survey & Geotech

3 (Task 1) Design

4 (Task 2) Demolition

5 (Task 2) Site Preperation

6 (Task 2) Utility Service Installation

7 (Task 2) Install Foundation

8 (Task 2) Install Vertical Structure

9 (Task 3) Install Parking Lot Base Material

10 (Task 3) Install Parking Lot Asphalt Pavement

11 (Task 3) Install Parking Lot Pavement Markings

12 Demobilization

TOTAL	0.00%	0.00%	0.00%
REMARKS		SCHEDULED:	0.00%

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.
TYPE OR PRINT NAME AND TITLE		CONTRACTOR SIGNATURE	DATE
Lemuel Campbell, Project Manager
Contractor:	John Doe Construction, Inc.
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPE OR PRINT NAME AND TITLE		CES SIGNATURE	DATE	Recommend Approval	Yes / No

Inspector / COR:	325 Civil Engineer Squadron, TAFB
TYPE OR PRINT NAME AND TITLE		CO SIGNATURE	DATE

Contracting Officer / Administrator: 325 Contracting Squadron, TAFB

(15)

DOCUMENT TRACKING - Do Not Print
	Date	Remarks
Submitted:
CE Review:
CONS Review:
Return to KTR:

CONTRACT PROGRESS REPORT		Form Approved
		OMB NO. 9000-0058
		Expires March 31, 1993
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, Washing Headquarters Services, Directorate for Information Operations and Reports, 1215 Jefferson
Davis Highway, Suite 1204, Arlington, VA 2202-4302, 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.
CONTRACTOR	ADDRESS
John Doe Construction, Inc.	1111 US-98

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