Atch__10_-_BLANK_SAMPLE_AF_Form_3065.pdf

PDF 32 KB Posted

Attached to
Mechanical Electrical IDIQ Federal contract opportunity
Solicitation number
FA8501-18-R-0003
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

About this file

Written by GovTribe AI ·

This document contains a federal contract opportunity for mechanical and electrical maintenance services at Robins Air Force Base in Georgia. The indefinite-delivery indefinite-quantity construction contract seeks to provide maintenance, repair, alteration, and new construction work on various real property facilities at the base. Specific work may include HVAC repairs, renovations and upgrades; HVAC controls; hot water, chilled water and steam underground distribution; fuel distribution systems including underground lines and tanks; gas, electrical and oil-fired boiler repairs and replacements; airfield and exterior lighting repair, renovations and upgrades; and fire suppression and alarm systems repairs, renovations and upgrades. The contractor will be responsible for providing all material, equipment, labor and general conditions to accomplish work orders issued against the IDIQ. The solicitation was issued by the Department of the Air Force Materiel Command Lifecycle Management Center located at Robins Air Force Base.

From the source

Attachment #10 - Blank AF Form 3065

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COMPLETIO

N DATE

FROM: TO:

LINE

NO.

% OF TOTAL JOB % COMPLETED

THIS PERIOD

% COMPLETED

CUMULATIVE

1 0.00% 0.00% 0.00%

2 0.00% 0.00% 0.00%

3 0.00% 0.00% 0.00%

4 0.00% 0.00% 0.00%

5 0.00% 0.00% 0.00%

6 0.00% 0.00% 0.00%

7 0.00% 0.00% 0.00%

8 0.00% 0.00% 0.00%

9 0.00% 0.00% 0.00%

10 0.00% 0.00% 0.00%

11 0.00% 0.00% 0.00%

12 0.00% 0.00% 0.00%

13 0.00% 0.00% 0.00%

14 0.00% 0.00% 0.00%

15 0.00% 0.00% 0.00%

16 0.00% 0.00% 0.00%

17 0.00% 0.00% 0.00%

18 0.00% 0.00% 0.00%

19 0.00% 0.00% 0.00%

20 0.00% 0.00% 0.00%

21 0.00% 0.00% 0.00%

22 0.00% 0.00% 0.00%

23 0.00% 0.00% 0.00%

24 0.00% 0.00% 0.00%

25 0.00% 0.00% 0.00%

26 0.00% 0.00% 0.00%

27 0.00% 0.00% 0.00%

28 0.00% 0.00% 0.00%

29 0.00% 0.00% 0.00%

30 0.00% 0.00% 0.00%

31 0.00% 0.00% 0.00%

32 0.00% 0.00% 0.00%

33 0.00% 0.00% 0.00%

34 0.00% 0.00% 0.00%

35 0.00% 0.00% 0.00%

WORK ELEMENT

CONTRACTOR ADDRESS

CONTRACT NO.

REPORT

NO.

PERIOD COVERED PROJECT NO.

XXXXXX

CONTRACT PROGRESS REPORT

OMB NO. 0704-0188

FA8501-XX-X-XXXX

LINE

NO.

% OF TOTAL JOB % COMPLETED

THIS PERIOD

% COMPLETED

CUMULATIVE

WORK ELEMENT

36 0.00% 0.00% 0.00%

37 0.00% 0.00% 0.00%

38 0.00% 0.00% 0.00%

39 0.00% 0.00% 0.00%

40 0.00% 0.00% 0.00%

41 0.00% 0.00% 0.00%

42 0.00% 0.00% 0.00%

43 0.00% 0.00% 0.00%

44 0.00% 0.00% 0.00%

TOTAL 0% 0% 0%

REMARKS

Date

At the Contracting 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 specs.

SUBMITTED BY OR FOR

TYPED NAME AND TITLE

TYPED NAME AND TITLE

Project Manager

REVIEWED BY OR FOR CONTRACTING OFFICER

DATE

Construction Inspector: Print Name ______________________ Signature:

SIGNATURE

SIGNATURE DATE

CONTRACTOR 78th CIVIL ENGINEERS

AF Form 3065

File details come from the government source that posted it. Updated .