Atch__9_-_BLANK_SAMPLE_AF_Form_3064.pdf

PDF 27 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

This document contains a federal contract opportunity and related sample progress schedule form. The Mechanical-Electrical Indefinite-Delivery Indefinite-Quantity construction contract provides mechanical and electrical maintenance support at Robins Air Force Base, Georgia. Work includes HVAC, controls, utility systems, fuel distribution, boilers, lighting, fire suppression, and alarm/notification systems. The contractor will provide all materials, equipment, labor, and general conditions to complete task orders. The Department of the Air Force Materiel Command Lifecycle Management Center at Robins AFB issued solicitation FA8501-18-R-0003 for this IDIQ contract. The sample AF Form 3064 is a progress schedule contractors would submit showing work elements, start/completion dates, and percentage of work completed by period for a given task order.

Attachment #9 - Blank AF Form 3064

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Text version

AF FORM 3064, JUN 90 PREVIOUST EDITION IS OBSOLETE

X/XX/2017

#VALUE! DATE SIGNED

XXXXXX

X/XX/2017

LINE NO. XXXXXX.XX

A XXXXX.XX Aug Sep Oct Nov Dec Jan Feb Mar X/X/2017

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%

Fence 20 2.17%

CLIN 2

Total

0.00%

WORK ELEMENTS

3. COMPLETION DATE

CONTRACTING OFFICER'S SIGNATUREDATE SIGNED

6. ACTUAL STARTING DATE

7. ACTUAL COMP DATE

5. PROJECT NO.

4. PURCHASE REQUEST NO.

CONTRACTOR'S

SIGNATURE

Form Approved OMB NO. 0704-0188

10. APPROVAL RECOMMENDED BY

INSTALLATION'S ENGINEER'S SIGNATURE

FA8501-XX-X-XXXX

2. STARTING DATE/ NTP

CONTRACT PROGRESS SCHEDULE (See Contractor's Instructions on Reverse)

DATE SIGNED

8. PROJECT TITLE

Project Title, Robins AFB, GA

9. SUBMITTED BY:

1. CONTRACT NO.

CONTRACTOR'S NAME (LAST, FIRST, I) ADDRESS

(STREET, CITY, STATE, ZIP)

CLIN 1

11. APPROVED BY

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 the collection of information including suggestions for reducing this burden in Department of Defense, Washington Headquarters Service. Directorate for information Operations and Report. 1215 Jefferson Davis Highway, Suite 1204, Arlington VA 22292-4302, and to the Office of Management and Budget, Paperwork Reduction Project 0704-0188, Washington, DC 20503. Please DON NOT RETURN your (form questionnaire) to either of these addresses. Send your completed (form questionnaire) to: SAF AQCO, Washington, DC 20330-1000.

AF Form 3064

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