CONTRACT INSPECTION REPORT IMAGE CORRELATION TEST PROGRAM

Document Type: 
Document Number (FOIA) /ESDN (CREST): 
CIA-RDP78B04770A000200010027-1
Release Decision: 
RIPPUB
Original Classification: 
C
Document Page Count: 
2
Document Creation Date: 
December 28, 2016
Document Release Date: 
July 1, 2004
Sequence Number: 
27
Case Number: 
Publication Date: 
December 21, 1967
Content Type: 
FORM
File: 
AttachmentSize
PDF icon CIA-RDP78B04770A000200010027-1.pdf80.22 KB
Body: 
xi ^ SECRET ? CONFIDENTIAL 998485 ^ UNCLASSIFIED oved F elease 2004/07/29: CIA- X 880 0002000 00 N . RACT I tr CT I ON REPORT RT 21 TO: , CONTRACT ADMINISTRATION & SETTLEMENT INSPECTION REPORT NO. (If final, so state) BRANCH/PD/OL EST TED COMPLETION DATE t NAME OF CONTRACTOR THE C TRACTOR IS ON SCHEDULE THE CONTRACTOR WILL PROBABLY REMAIN WITHIN ALLOCATED ff~~77 ^ YES IMiI O N ~Jw-~ FUNDS YES ^ NO IF ANSWER IS "NO" ADVISE REC- OMMENDA-ON AND/OR ACTION OF SPONSORING OFFICE O , N PER CENT OF WORK COMPLETED REVERSE HEREOF. IF KNOWN. INDICATE MAGNITUDE OF AD- 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? ^ YES M NO (If yes, give details on reverse side.) HAS GOVERNMENT-OWNED PROPERTY BEEN DELIVERED TO CONTRACTOR DURING THIS PERIOD? ^ YES NO If i d yes, ( n icate items, quantity, and cost on reverse side.) INCENTIVES IS THIS AN INCENTIVE CONTRACT YES C] NO NOTE: IF YES, CHECK TYPE USE REVERSE SIDE FOR COMMENTS. #1 COST II AWARD PERFORMANCE 0 DELIVERY FINAL REPORT MUST CONTAIN INCENTIVE EVALUATION. ?! L .. FEE OVERALL PERFORMANCE OF CONTRACTOR 1. ^ OUTSTANDING 4. 1:1 ABOVE AVERAGE 7. ^ UNSATISFACTORY 2. ^ EXCELLENT 5. 13 AVERAGE 3. ^ VERY GOOD 6. 13 MINIMUM ACCEPTABLE IF OVERALL PERFORMANCE OF C ONTRACTOR 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 REC D DOES NOT ITEM ' DOES NOT APPLY REC D 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 w~t #Q. s SIGNATURE OF INSPECTOR DIVISION FORM 1897 E proved o' Q~As% 00 07/29: CIA d ~1710M~Q0020001027~ECRET ( 12-361 Declass Review by NGA. v ^ SECRET _ ^ CONFIDENTIAL UNCLASSIFIED 0 FINAL ^ UNCLASSI IED CONFIDENTIAL ^ SECRET