Atch__6_-_BLANK_SAMPLE_AF_Form_3064.xlsx
XLSX spreadsheet 51 KB Posted
- Attached to
- CEMACC II Federal contract opportunity
- Solicitation number
- FA8501-19-B-A001
About this file
This document package includes a sample progress schedule template and related federal solicitation. The sample progress schedule template is a blank AF Form 3064 for planning and tracking the progress of construction projects against established milestones.
The related federal solicitation is for the CEMACC II indefinite-delivery/indefinite-quantity construction contract at Robins Air Force Base. This is a restricted competition set aside for service-disabled veteran-owned small businesses. Offerors must be registered in the System for Award Management. The solicitation anticipates awarding multiple IDIQ contracts for maintenance, repair, alteration, and new construction projects across base facilities. Task order values will typically range from $250,000 to $3 million. The base contract period is one year with four optional annual extensions. The total program value is estimated at $95 million. Bonds will be required on task orders over $35,000. The response deadline and award date are not specified in the document package.
Atch #6 Blank Sample AF Form 3064
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Text version
AF Form 3064 CONTRACT PROGRESS SCHEDULE (See Contractor's Instructions on Reverse) Form Approved OMB NO. 0704-0188
| 1. CONTRACT NO. | 8. PROJECT TITLE | 10. APPROVAL RECOMMENDED BY | |
| FA8501-XX-X-XXXX | Project Title, Robins AFB, GA | DATE SIGNED | INSTALLATION'S ENGINEER'S SIGNATURE |
| 2. STARTING DATE/ NTP | X/XX/2017 | 9. SUBMITTED BY: | ||||||||||||
| 3. COMPLETION DATE | ERROR:#VALUE! | DATE SIGNED | CONTRACTOR'S NAME (LAST, FIRST, I) ADDRESS (STREET, CITY, STATE, ZIP) | CONTRACTOR'S SIGNATURE | 11. APPROVED BY | |||||||||
| 4. PURCHASE REQUEST NO. | DATE SIGNED | CONTRACTING OFFICER'S SIGNATURE | ||||||||||||
| 5. PROJECT NO. | XXXXXX | |||||||||||||
| 6. ACTUAL STARTING DATE | X/XX/2017 | |||||||||||||
| 7. ACTUAL COMP DATE | ||||||||||||||
| LINE NO. | WORK ELEMENTS | XXXXXX.XX | % | |||||||||||
| A | XXXXX.XX | Aug | Sep | Oct | Nov | Dec | Jan | Feb | Mar | X/X/2017 | ||||
| 1 | CLIN 1 | |||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 2 | ||||||||||||||
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| Total | 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% | ERROR:#VALUE! | |||||
| 37 | CLIN 2 | |||||||||||||
| Fence | 20 | 2.17% | ERROR:#VALUE! | |||||||||||
| ERROR:#VALUE! |
&"Arial,Bold"&8AF FORM 3064, JUN 90 &"Arial,Bold Italic"&6 PREVIOUST EDITION IS OBSOLETE
AF Form 3065
CONTRACT PROGRESS REPORT OMB NO. 0704-0188
| CONTRACTOR | ADDRESS | ||||||||
| 0 | |||||||||
| 0 | |||||||||
| REPORT NO. | PERIOD COVERED | PROJECT NO. | CONTRACT NO. | COMPLETION DATE | |||||
| 1 | FROM: | TO: | XXXXXX | FA8501-XX-X-XXXX | |||||
| LINE NO. | WORK ELEMENT | % 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% | ||||||
| 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 | |||||||||
| Construction Inspector: Print Name ______________________ Signature: | |||||||||
| 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 | SIGNATURE | DATE |
| Project Manager |
| REVIEWED BY OR FOR CONTRACTING OFFICER | ||
| TYPED NAME AND TITLE | SIGNATURE | DATE |
CONTRACTOR
78th CIVIL ENGINEERS
Sheet1
| % COMPLETED THIS PERIOD |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| ERROR:#REF! |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| 0.00% |
| ERROR:#REF! |
Sheet2
Microsoft_Word_97_-_2003_Document1.doc 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.
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