Attachment 14 Af 3065.xlsx
XLSX spreadsheet 14 KB Posted
- Solicitation number
- FA500021R0078
About this file
This document contains a federal contract progress report template and information on a related federal contract opportunity. The progress report template collects information on the contract number, completion date, work elements, and percentage of work completed for periodic reporting. Contractors must have a certifying official validate completed work.
The related federal contract opportunity is for repair and renovation work on the Arctic Warrior Chapel Building 3 on an Air Force base in the Pacific region. Services required include dropping an existing ceiling, installing new interior perimeter walls, replacing flooring, doors and a room divider. Electrical work includes new lighting, outlets, switches and cover plates. The project also includes asbestos and lead abatement in the multi-purpose room. The solicitation number is FA500021R0078 and offers are due for the Repair Arctic Warrior Chapel Bldg. 3 Project HJZH211093.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 1 STATEMENT OF WORK rev1.pdf | ||
| Attachment 12 AF FORM 3000.pdf | ||
| Attachment 13 AF FORM 3064.xls | XLS spreadsheet | |
| Attachment 11 JBER HAZMAT Usage Tracking Form 25 October 2020.pdf | ||
| Solicitation Amendment FA500021R00780001 SF 30.pdf | ||
| Attachment 10 AF FORM 66.xlsx | XLSX spreadsheet | |
| FY21 REPAIR ARCTIC WARRIOR CHAPEL RENOVATION B3.zip | ZIP file |
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Text version
Table 1
| CONTRACT PROGRESS REPORT | OMB NO. 0704-0188 |
| 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 | PROJECT NO. | CONTRACT NO. | COMPLETION DATE | |||||
| FROM: | TO: | ||||||||
| LINE NO. | WORK ELEMENT | % OF TOTAL JOB | % COMPLETED THIS PERIOD | % COMPLETED CUMULATIVE |
| 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 OR FOR
CONTRACTOR BASE CIVIL ENGINEER
| 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, 19960401, V1 PREVIOUS EDITION IS OBSOLETE. |
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