CONTRACT INSPECTION ASSIGNMENT RECORD TO RED/TSSG ATTN:(Sanitized) FROM SC&PS/TSSG

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04770A001200010023-4
• Release Decision: RIPPUB
• Original Classification: C
• Document Page Count: 3
• Document Creation Date: December 28, 2016
• Document Release Date: March 8, 2005
• Sequence Number: 23
• Publication Date: May 28, 1975
• Content Type: FORM

^ UNCLASSIFIED 0 CONFIDENTIAL ^ SECRET
Approved For Release 2005/05/02 : CIA-RDP78BO477OA001200010023-4
CONTRACT INSPECTION ASSIGNMENT-RECORD
TO:
25X RED SSG Attn:
SCFPS/TSSG
25X1
25X1
25X1
5500-6107-70
Project Monitor
T4Av
CONTRACTOR
ITEM Modify[][]Type 1740 Stereo Chip Comparator
1. Your Office is responsible for performing inspection under the subject
Contract. A part of this responsibility is the monitoring of the Contractor's
performance tat his facility to determine if the quality standards of the Contract
are being met. It is also requested that you authenticate the need for and the
proper use of any Government furnished property made available to the Contractor
in accordance with the Contract.
2. To assist in our evaluation of this Contractor's capability and perform-
ance, send us a report of each inspection visit (Form 1897, Contract Inspection
Report). Both the interim and the final reports should include information relative
to the contractual provisions for delivery and expenditure, as well as your judgment
Df the Contractor's overall performance. The final report should be in narrative
dorm and should include a statement certifying that all deliverable items listed in
the Contract have been received. (Use reverse side of Form 1897 for narrative.)
3. Reports that indicate overall performance as unsatisfactory or barely
adequate should support such evaluations with detailed explanations of the specific
discrepancies and the corrective action which is being taken.
4. In order to establish a regular reporting cycle, the initial Inspection
Report shall be submitted thirty days after the 15th of the month following the
effective date of the Contract, (e.g. on a contract dated 5 June 1967, the first
Inspection Report will be due 15 July). Subsequent reports will be submitted at
sixty day intervals from the first due date (e.g. 15 September, 15 November, etc.).
5. The Inspection Report is the basis for payment of invoices submitted by the
Contractor; therefore, it is important that they be submitted promptly as required
above.
6. Incentive Contracts require close review during performance whenever award
or performance incentives are to be applied. The final report must reflect an ac-
curate evaluation-of total performance and the level of -objectives attained so as to
establish the basis for incentive award.
7. Indicate your acceptance of this inspection responsibility by filling in
the name of the inspector/monitor and his extension in the space below on one copy
of this form and return it to us.
INSPECTOR/MONITOR EXTENSION
NGA Review ? gtFor Release 2005/05/02: CIA-RDP78BO477OA00 200010023-4
(12-36)
FORM 1897a PREVIOU
D -]UNCLASSIFIED
E T I S ^SECRET
10-67 ICONFIDENTIAL
IONS
 25
25
THIS NUMBER MUST APPEAR ON P
AGE NO.
NO. OF PAGES
ALL PACKAGES AND PAPERS
CON
AMIA
RELATING TO THIS CONTRACT ORDER
4
2005/05/02 CI
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fr?
- HER NO
25
PREPARED BY
REFERENCE
DATE OF CONTRACT/ORDER D
ATE OF D.V.
is contractual document is entered into as of the date above, by and between the United Stales of Americo-, hereinafter called the Government represented by the Contracting Officer
executing same, and the below named Contractor, hereinafter called the Contractor. The parties hereto agree that the Contractor shall furnish the facilities and deliver the supplies and
services set forth herein for the consideration stated.
Z w->.
CONTRACT-The rights and obligations of the parties hereto shall be subject to and governed by the Schedule and the terms and conditions on the attached General
04
Provisions (Form No. edition). To the extent of any inconsistency within the Schedule and the General Provisions, the Schedule shall control.
1 AM A
0 Sc~
TASK ORDER-The rights and obligations of the parties hereto shall be subject to and governed by this Task Order consisting of the Schedule and all terms and provi-
sions of the Basic Contract indicated above, which is incorporated herein by reference and made a part hereof. To the extent of any inconsistency between Basic Contract
and this Task Order, this Task Order shall control.
TO: (CONTRACTOR AND ADDRESS)
MAIL INVOICE TO:
1
I u1 ffice
SHIP TO: (CONSIGNEE AND ADDRESS)
ISSUING OFFICE (ADDRESS INQUIRIES TO)
25
SIM 1e
DISCOUNT TERMS
DELIVER ON OR BEFORE
DELIVERY F. O. B.--)P-
CITY & STATE - SHIP VIA
PREPAID add chgs.
OTHER as
to invoice (ref.
g~,,,~~,
e ,."chdgle
para. 30 General
specified it:
schedule
DESTINATION
Provisions)
S C H E D U L E
ITEM
NO.
SUPPLIES OR SERVICES
UNIT
QUANTITY
(NO. OF
UNIT
PRICE
AMOUNT
UNITS)
'1111111111'
ThO CjWtf8CW ShAU perms C140
Eo1
1
Moafieatims o 1741
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:
'
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174001 as fully described ( l s
7, 1970
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asso-tues.
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Optical vim she rewljustwnt to
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3
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precisim load $ tm1 by C1eC-
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D.O. DEFENSE ORDER NOTE: Use of the rating mandatory on all subconl
.-.
and purchase orders over $500. Certification thereo shall
f
IED DER DMS
EG
CERTI
AT
O
N
"
"
TOTAL AMOUNT
UL
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O. 1 be
U. S. Government Order/Contract No.
shown above.
2
ACCOUNTING CLASSIFICATION
THE UNITED STATES OF AMERICA
BY
25
CONTRACTING OFFICER
PRO
THIS CONTRACT ADVERTISED OR NEGOTIATED
UNDER AUTHORITY AS SHOWN BELOW.
THE ABOVE CONTRACTING OFFICER CERTIFIES THAT THE FOLLOWING IS TRUE
AND CORRECT: THAT ANY REQUIRED DETERMINATION AND FINDINGS IN CASE
OF NEGOTIATION HAS BEEN MADE OR A STATEMENT OF REASON IN CASE OF
REJECTION OF LOW BIDS ATTACHED: THAT THE SUPPLIES OR SERVICES COVERED
TO BE INSPECTED BY
PROCURED AS S. C.
BY THE AGREEMENT ARE NECESSARY FOR THE PUBLIC SERVICE AND THAT THE
PRICES CHARGED ARE JUST AND REASONABLE.
Other As
NO. DEALERS
NO. BIDS AW
ARDED TO LOWEST BIDDER AS
T AND I
ifi
d
S
NNT
ZERO
ONE
V
RECD. TO
PRICE EXPENDIT RE.
pec
e
In Schedule
AD
.
YES NO tatement
Attached
CHARGE ALLOTMENT NO.
COST CENTER SYMBOL
N
PURSUANT TO SEC. 3(a) PL 81-110, 1949
E
G
AND APPLICABLE AGENCY REGULATION
REQUISITION NO.
BUDGET REQ. OFFICE COPY TO.
O
T
PUBLIC
IMPRACTICAL TO
EXIGENCY
SECURE COMPETITION
R
NAME - ROOM - BUILDING
E
SHOULD NOT BE
OTHER (Specify)
E
D
PUBLICLY DISCLOSED
E
A
STOCK
LLOCATION NO.
SHIPMENT
STATION NO.
VIA
L
SEA AIR
POUCH_ - TRUCK
NOT SUBJECT TO F.PA.
[Pay on basis of
INVOICE BY AN APPROVING OFFICIAL
RECEIVING REPORT BY AN
APPROVING OFFICIAL
OTHER JAS SPECIFIED IN
certification on)-311~
[O/F forward to office shown above.)
W/O DEBIT VOUCHER NO.
SCHEDULE OR BELOW)
MEMORANDUM
FORM 1444 USE PREVIOUS (12.28)
3-67 EDITIONS
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ITEM
NO.
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UNIT
QUANTITY
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UNITS)
UNIT
PRICE
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AMOUNT
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Approved For Release 2005/05 CIA-RDP7> f39841)70A1'1p1200010023-4
4. RECEIVING REPORT