CONTRACT INSPECTION REPORT

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04747A001100020036-9
• Release Decision: RIPPUB
• Original Classification: C
• Document Page Count: 4
• Document Creation Date: December 28, 2016
• Document Release Date: December 2, 2004
• Sequence Number: 36
• Publication Date: October 20, 1967
• Content Type: REPORT

^ SECRET ? CONFIDENTIAL 891505 ^ UNCLASSIFIED
CONTRACT N0. TASK N0.
Ap~y~LF~or11~~~~~0~~~~ :CIA-RD 78B04747A0011200 6-9
25X1
T0:
CONTRACT ADMINISTRATION & SETTLEMENT
INSPECTION REPORT N0. (If final, so state)
BRANCH~PD~OL
E (MATED COMPLETION DATE
NAME OF CONTRACTOR
THE CONTRACTOR IS ON SCHEDULE
THE CONTRACTOR WILL PROBABLY REMAIN WITHIN ALLOCATED
7 vES ~ No IF ANSWER IS "NO" ADVISE REC-
FUNDS (1
^ YES ^ No
~
OMMENDAT~fON AND/OR ACTION OF SPONSORING OFFICE, ON
REVERSE HEREOF. IF KNOWN. INDICATE MAGNITUDE OF AD-
PER.CENT OF WORK COMPLETED ~
DITIONAL FUNDS INVOLVED.
PER CENT OF FUNDS EXPENDED - 6L+>`
'
s
i~r~
NAL REPORT. PROTOTYPE, OR OTHER END ITEM BEEN RECEIVED FROM THE CONTRACTOR
F
I
HAS AN INTERIM REPORT,
DURING THE PERIODT ~ vES ^ No (If yes, give details on reverse side.)
HAS GOVERNMENT-OWNED PROPERTY BEEN DELIVERED TO CONTRACTOR DURING THIS PERIODT ^ YES ? No
(If yes, indicate items, quantity, and cost on reverse s-ide.)
INCENTIVES
IS THIS AN INCENTIVE CONTRACT ~ YES ~* Na
NOTE:
IF YES, CHECK TYPE
USE REVERSE SIDE FOR COMMENTS.
^ cosT ~ AWARD ^ PERFORMANCE ^ DELIVERY
FINAL REPORT MUST CONTAIN INCENTIVE EVALUATION.
FEE
OVERALL PERFORMANCE OF CONTRACTOR
1 ^ OUTSTANDING 4? ^ ABOVE AVERAGE 7. ^ UNSATISFACTORY
2. ^ EXCELLENT 5?~~ AVERAGE
3, ^ VERY GOOD 6, ^ MINIMUM ACCEPTABLE
IF OVERALL PERFORMANCE OF CONTRACTOR IS UNSATISFACTORY OR MINIMUM ACCEPTABLE INDICATE
REASONS ON REVERSE SIDE.
RECOMMENDED ACTION
CONTINUE AS PROGRAMMED ^ WITHHOLD PAYMENT PENDING
SATISFACTORY PERFORMANCE
^ TERMINATE ^ OTHER (Specify)
IF TERMINATION IS RECOMMENDED OR IF THIS I5 A FINAL REPORT PUT COMMENTS ON REVERSE IN NARRATIVE
FORM ON CONTRACTOR'S PERFORMANCE AND CERTIFY THAT ALL DELIVERABLE ITEMS UNDER THE CONTRACT HAVE BEEN
RECEIVED. THESE INCLUDE. WHERE APPLICABLE, THE FOLLOWING:
ITEM
RECD
DOES NOT
~
ITEM
RECD
DOES NOT
APPLY
APPLY
PROTOTYPES -
MANUALS
DRAWINGS AND SPECIFICATIONS
FINAL REPORT
PRODUCTION AND/OR OTHER
SPECIAL TOOLING
END ITEMS
OTHER GOVERNMENT PROPERTY
DATE OF LAST CONTACT WITH CONTRACTOR
--
SIGNATURE OF INSPECTOR
DIVISION
INSPECTOR'S EXTENSION
SIGNATURE OF APPROVER
Declass Review by NGA/DOD
e?66 1897 PREV100$ UNCLASSIFIED ~ "' CONFIDENTIAL ^ SECRET I,z.~361
EDITION
 ^ SECRET ^ CONFIDENTIAL
^ UNCLASSIFIED
Approved For Release 2005/02/10 :CIA-RDP78 047 -
NARRATIVE REPORT ~ INTERIM
^ FINAL
~~ _ ~'~' ~~ K~t$~~F SCE C~~:#~Y ~t~~~ t3'3~' ~r~ax~~~ ~#,~~~
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I Aaaroved For Release 2005102/10 :CIA-RDP78B04747A001100020036-9
^ UNCLASS FF IED ^ CONF (DENT IAL ^ SECRET
 ^ SECRET
^ CONFIDENTIAL
Ap~~~~~or~R ~ROf~~~~ :CIA-RD
~l>~~R~4~T~lA0011000200
`
""
~=~` N0'
~
TQ;
DATE
CONTRACT ADMINISTRATION & SETTLEMENT
INSPECTIO REPORT N0. (jf final, so state)
BRANCH~PD~OL
EST MATED COMPLETION DATE
NAME OF CONTRACTOR
TYPE OF COMMODITY OR SERVICE
~~ ~.
THE CONTRACTOR IS ON SCHEDULE
THE CONTRACTOR WILL PROBABLY REMAIN WITHIN ALLOCATED
YES ^ No
FUNDS (~ vES ~ No IF ANSWER IS "NO" ADVISE REC-
OMMENDA?~N AND/OR ACTION OF SPONSORING OFFICE
ON
,
REVERSE HEREOF. IF KNOWN, INDICATE MAGNITUDE OF AD-
PER CENT OF WORK COMPLETED
DITIONAL FUNDS INVOLVED.
PER CENT OF FUNDS EXPENDED -
HAS AN INTERIM REPORT, FINAL REPORT, PROTOTYPE, OR OTHER END ITEM BEEN RECEIVED FROM THE CONTRACTOR
DURING THE PERIOD? n vES ^ No (If yes, give details on reverse side.)
~I--''~~
HAS GOVERNMENT?OWNED PROPERTY BEEN DELIVERED TO CONTRACTOR DURING THIS PERIOD? ^ YES tai:: Fi NO
(If yes, indicate items, qv an tity, and cost on reverse side.) ~~~~
INCENTIVES
IS THIS AN INCENTIVE CONTRACT ~ YES ~ No
NOTE:
IF YES, CHECK TYPE
USE REVERSE SIDE FOR COMMENTS.
^ cost O AWARD ^ PERFORMANCE ^ DELIVERY
FINAL REPORT MUST CONTAIN INCENTIVE EVALUATION.
FEE
OVERALL PERFORMANCE OF CONTRACTOR
1 ^ OUTSTANDING 4? ~ ABOVE AVERAGE 7. ^ UNSATISFACTORY
2. ^ EXCELLENT 5. ^ AVERAGE
3, ^ VERY GOOD 6, ^ MINIMUM ACCEPTABLE
IF OVERALL PERFORIANCE OF CONTRACTOR IS UNSATISFACTORY OR MINIMUM ACCEPTABLE INDICATE
REASONS ON REVERSE SIDE.
RECOMMENDED ACTION
CONTINUE AS PROGRAMMED ^ WITHHOLD PAYMENT PENDING
SATISFACTORY PERFORMANCE
^ TERMINATE ^ OTHER (Specify)
IF TERMINATION IS RECOMMENDED OR IF THIS IS A FINAL REPORT PUT COMMENTS ON REVERSE IN NARRATIVE
FORM ON CONTRACTOR"S PERFORMANCE AND CERTIFY THAT ALL DELIVERABLE ITEMS UNDER THE CONTRACT HAVE BEEN
RECEIVED, THESE INCLUDE, WHERE APPLICABLE, THE FOLLOWING:
ITEM
RECD
DOES NOT
ITEM
RECD
DOES NOT
APPLY
APPLY
PROTOTYPES
MANUALS
DRAWINGS AND- SPECIFICATIONS
FINAL REPORT
PRODUCTION AND/OR OTHER
D
SPECIAL TOOLING
EN
ITEMS
OTHER GOVI~RNMENT PROPERTY
DATE OF LAST CONTACT WITH CONTRACTOR
~-
DIVISION
INSPECTOR'S EXTENSION
SIGNATURE OF APPROVER
25X1
g='6's 189
^ UNCLASSIFIED
CONFIDENTIAL ^ SEGRET
~'/_~~~~ ^ UNCLASSIFIED
 ^ SECRET ^ CONFIDENTIAL ^ UNCLASSIFIED
p rp oved For Release 2005/02/10 :CIA-RDPT8B04747A001100020036-9
NARRATIVE REPORT
INTERIM ^ FINAL
mar ~~~ rI
~ Approved For~e~ea~P ~~~-5/(19/1(1 ?CID-RI~P7RR(1d7dZ0(1~111(_1(_1(_19_(_1(_1~R_-9
^ UNCLASSIFIED : ^ CONFIDENTIAL ^ SECRET