GOVERNMENT_PROPERTY_REPORT_SF_1149 1 .docx

CONTRACT NUMBER:

VESSEL:

CONTRACTOR POINT OF CONTACT:

TELEPHONE NUMBER:

CONTRACTOR’S ADDRESS:

The chart below is for use during the performance of the above listed contract. The Contractor shall complete each column of the chart with the assistance of the Government Property Administrator, as needed.

TYPE OF PROPERTY RECEIVED (INCLUDE NAME, DESCRIPTION , NSN AND SERIAL #)

VALUE OF

PROPERTY

DATE RECEIVED

DATE INSTALLED/

CONSUMED

USE THIS BLOCK TO RECORD :

1. CURRENT LOCATION OF PROPERTY IN THE POSSESSION OF THE CONTRACTOR FOR USE DURING THE AVAILABILITY OR OTHERWISE BEING TEMPORARILY HELD UNTIL BEING RETURNED TO/REINSTALLED ON CUTTER.

2. DISPOSITION INSTRUCTIONS FOR UNUSED, SERVICEABLE, SALVAGE OR SCRAP PROPERTY. STATE WHICH APPLY.

DATE

DISPOSITION

CARRIED OUT

* Definitions (all property defined below will require disposition instructions):

Serviceable - defined as property that was pre-existing in a location that was, during the course of performance, replaced and which will be turned in by the Coast Guard for future use.

Salvage – defined as property that has no serviceable value, but that has some value in excess of its scrap value.

Scrap – defined as property having no value except for it basic material content.

The undersigned hereby certify that all property provided under referenced contract has been accounted for. That is property has either been consumed in the performance of the contract or disposition instructions, as listed above, have been provided.

PROPERTY ADMINISTRATOR DATE

(Sign at time disposition instructions are given)

CONTRACTOR SIGNATURE DATE

(sign after execution of disposition instructions)

NOTE: The Contractor must carry out all disposition instructions as instructed above. This report must accompany the Contractor’s final invoice. (07/02)