Atch__7_-_BLANK_SAMPLE_AF_Form_3065.xlsx

XLSX spreadsheet 51 KB Posted

Attached to
CEMACC II Federal contract opportunity
Solicitation number
FA8501-19-B-A001
Issued by
Department of the Air Force Materiel Command Lifecycle Management Center Robins Air Force Base

About this file

This document contains a sample progress schedule template and progress report form for use on federal construction contracts.

The progress schedule template is AF Form 3064, which contractors would use to outline the planned timing of key project milestones and deliverables over the duration of the contract. It includes lines to track the percentage of work completed on a monthly basis across multiple contract line items. The accompanying progress report form, AF Form 3065, is submitted periodically to report the percentage of total work and work completed in the reporting period for each line item. Both forms require approval signatures from the contractor, installation engineer, and contracting officer. The purpose of these forms is to track progress against the project schedule and compute progress payments according to the contract's payment terms.

Atch #7 Blank Sample AF Form 3065

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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 TITLE10. APPROVAL RECOMMENDED BY
FA8501-XX-X-XXXXProject Title, Robins AFB, GADATE SIGNEDINSTALLATION'S ENGINEER'S SIGNATURE
2. STARTING DATE/ NTPX/XX/20179. SUBMITTED BY:
3. COMPLETION DATEERROR:#VALUE!DATE SIGNEDCONTRACTOR'S NAME (LAST, FIRST, I) ADDRESS (STREET, CITY, STATE, ZIP)CONTRACTOR'S SIGNATURE11. APPROVED BY
4. PURCHASE REQUEST NO.DATE SIGNEDCONTRACTING OFFICER'S SIGNATURE
5. PROJECT NO.XXXXXX
6. ACTUAL STARTING DATEX/XX/2017
7. ACTUAL COMP DATE
LINE NO.WORK ELEMENTSXXXXXX.XX%
AXXXXX.XXAugSepOctNovDecJanFebMarX/X/2017
1CLIN 1
ERROR:#VALUE!
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Total0.00%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!
37CLIN 2
Fence202.17%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&"Arial,Bold"&8AF FORM 3064, JUN 90 &"Arial,Bold Italic"&6 PREVIOUST EDITION IS OBSOLETE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

CONTRACTORADDRESS
0
0
REPORT NO.PERIOD COVEREDPROJECT NO.CONTRACT NO.COMPLETION DATE
1FROM:TO:XXXXXXFA8501-XX-X-XXXX
LINE NO.WORK ELEMENT% OF TOTAL JOB% COMPLETED THIS PERIOD% COMPLETED CUMULATIVE
10.00%0.00%0.00%
20.00%0.00%0.00%
30.00%0.00%0.00%
40.00%0.00%0.00%
50.00%0.00%0.00%
60.00%0.00%0.00%
70.00%0.00%0.00%
80.00%0.00%0.00%
90.00%0.00%0.00%
100.00%0.00%0.00%
110.00%0.00%0.00%
120.00%0.00%0.00%
130.00%0.00%0.00%
140.00%0.00%0.00%
150.00%0.00%0.00%
160.00%0.00%0.00%
170.00%0.00%0.00%
180.00%0.00%0.00%
190.00%0.00%0.00%
200.00%0.00%0.00%
210.00%0.00%0.00%
220.00%0.00%0.00%
230.00%0.00%0.00%
240.00%0.00%0.00%
250.00%0.00%0.00%
260.00%0.00%0.00%
270.00%0.00%0.00%
280.00%0.00%0.00%
290.00%0.00%0.00%
300.00%0.00%0.00%
310.00%0.00%0.00%
320.00%0.00%0.00%
330.00%0.00%0.00%
340.00%0.00%0.00%
350.00%0.00%0.00%
360.00%0.00%0.00%
370.00%0.00%0.00%
380.00%0.00%0.00%
390.00%0.00%0.00%
400.00%0.00%0.00%
410.00%0.00%0.00%
420.00%0.00%0.00%
430.00%0.00%0.00%
440.00%0.00%0.00%
TOTAL0%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 TITLESIGNATUREDATE
Project Manager
REVIEWED BY OR FOR CONTRACTING OFFICER
TYPED NAME AND TITLESIGNATUREDATE

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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