Attachment_2_Government_Property_Form.pdf

GOVERNMENT PROPERTY REPORT

The Contractor shall complete each column throughout the contract performance period with the assistance of the Government Property Administrator. as needed.

CONTRACT NlJMBER: VESSEL:

CONTRACTOR POINT OF CONTACT:

CONTRACTOR'S ADDRESS:

TELEPHONE NlJl\IBER:

The chart bdow is for use during the performance of the above listed contract. The Contractor Silall 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#)

DESCRIPTION NSN\SERIAL\P/

N

VALUE OF

PROPERTY

3 4 5

USE THIS BLOCK TO RECORD :

DATE I DATE , .. CURRENT LOCATION OF PROPERTY IN THE POSSESSION OF THE CONTRACTOR FOR USE RECEIVED INSTALLED/ DURING THE AVAILABILITY OR OTHERWISE BEING TEMPORARILY HELD UNTIL BEING

CONSUMED RETURNED TO/REINSTALLED ON CUTfER.

2. · DISPOSITION INSTRUCrtONSFOR UNUSED, SERVICEABLE, SALVAGE OR S<;:RAP PROPERTY.

STATE WHICH APPLY.

DATE

DISPOSITION

CARRIED

OllT

11----------------------------------------------------4-------------------------+------------------~-------------------l--------------------+--'---'-------------------------------------------------------------------------------~------------------------------------------I----------------------~ l\-----------------------------------------------------j-------------------------+------------------~-------------------l-------------------1-------------------------------------------------------------------------------------------------------------------------------------·----------------------

11-----------------------------------------------------4-------------------------+-----------------~-------------------1--------------------+---------------------------------------------------------------------------~-----------·----------------------------------C-----------I---------------------~ lf---------------------------------------------------+------------------------+----------------+------------------l---------------------1--------------------------------------------------------------------------------------------------------------------------------·----------------------

-----------------------------------------------------1-------------------------+------------------.i-------------------·--------------------+---------------------------------------------------------------------------------------------------------------------:--------------'--------------------l~----------------------------------------------------~-------------------------+-----------------+-----------------+-------------------+-------------------------------------------------------'----------------------------------------------------------------------------1----------------------1

* 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 properly that has no serviceable value, but that has some value in excess of its scrap value.

Scrap - defined as property having no value excent 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.

7 8

PROPERTY ADMINISTRATOR DATE CONTRACTOR SIGNATURE

(Sign at time disposition instructions are given (signaller execution of disposition instructions) NOTE: The C onlrarlor must rarry out all disposition instructions as instructed above. This report must accompany the Contractor's final invoice.

(07/02)

DATE