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
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 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 | ||||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 3 | ||||||||||||||
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| 4 | ||||||||||||||
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| 5 | ||||||||||||||
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| 7 | ||||||||||||||
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| 8 | ||||||||||||||
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| 9 | ||||||||||||||
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| 10 | ||||||||||||||
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| 11 | ||||||||||||||
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| 12 | ||||||||||||||
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| 29 | ||||||||||||||
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| 30 | ||||||||||||||
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| 31 | ||||||||||||||
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| 32 | ||||||||||||||
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| 33 | ||||||||||||||
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| 34 | ||||||||||||||
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| 35 | ||||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 36 | ||||||||||||||
| ERROR:#VALUE! | ||||||||||||||
| 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
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