ATTACH18_AF3064_BLANK_SAMPLE.xlsx

XLSX spreadsheet 67 KB Posted

Attached to
Robins AFB Mechanical/Electrical II IDIQ Federal contract opportunity
Solicitation number
FA850124R0001
Issued by
Department of the Air Force Materiel Command Air Force Sustainment Center

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This solicitation is for an indefinite delivery-indefinite quantity multiple award construction contract to provide mechanical and electrical services at Robins Air Force Base in Georgia. The contract is set aside 100% for HUBZone certified small businesses and includes maintenance, repair, and alteration services for mechanical, electrical, and HVAC systems. A site visit will be held on December 14, 2023 for offerors to survey the site, with RSVPs due by November 29, 2023 and any requests for information due by December 20, 2023. The selected contractors will be responsible for furnishing all design, labor, equipment, materials, transportation, and other services necessary to complete task orders issued under the contract in accordance with specifications. The Department of the Air Force Materiel Command Air Force Sustainment Center is the contracting agency.

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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
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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&"Arial,Bold"&8AF FORM 3064, JUN 90 &"Arial,Bold Italic"&6 PREVIOUST EDITION IS OBSOLETE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%
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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%
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390.00%0.00%0.00%
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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
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0.00%
ERROR:#REF!
0.00%
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0.00%
0.00%
0.00%
0.00%
0.00%
0.00%
ERROR:#REF!

Sheet2

Microsoft_Word_97_-_2003_Document.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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