Contractor's_Closing_Statement.pdf
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Contractor’s Closing Statement Per FAR 4.804-5(a)(13)
CONTRACT NO: __________________________
DELIVERY OR TASK ORDER NO: ________________________
Dear Contractor, Per FAR 4.804-5(a)(13) we are required to document a “Contractor’s Closing Statement”.
Our records indicate the following: (check to indicate your agreement)
1. [ ] all commodities or services have been delivered or performed and accepted
2. [ ] all invoices submitted have been paid
3. [ ] there are no outstanding invoices or issues
We are ready to close this contract and de-obligate any remaining funds. Please confirm that our records are in agreement with yours. If we do not hear from you within 7 days, we will continue with the closeout of this contract.
Concur / Do Not Concur
Contractor’s Name / Signature Contractor’s Title Firm Name
Please complete and return to the contracting officer. Please submit in PDF format via email attachment to travis.zinkhann@nbib.gov.
Received / Not Received
Date Travis Zinkhann, Contracting Officer National Background Investigations Bureau
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