CONTRACT INSPECTION REPORT P.I. PERFORMANCE AND TECHNIQUE STUDY

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04770A001800020025-5
• Release Decision: RIPPUB
• Original Classification: C
• Document Page Count: 2
• Document Creation Date: December 28, 2016
• Document Release Date: January 27, 2006
• Sequence Number: 25
• Publication Date: June 16, 1966
• Content Type: FORM

CONTRACT NO.
TASK NO.
CONTRACT INSPECTION REPORT
TO:
C
ONTRACT ADMINISTRATION & SETTLEMENT
INSPECTION REPORT NO. (If final
so state)
BRANCH/PD/OL
,
ESTIMATED COMPLETION DATE
ei. r r?2
NAME OF CONTRACTOR
TYPE 0
9l:?
THE CONTRACTOR IS ON SCHEDULE THE CONT CTOR WILL PROBABLY REMAIN WITHIN ALLOCATED
J'3 YES ^ NO FUNDS YES ^ NO IF ANSWER IS "NO" ADVISE REC-
OMMENDATION 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 - -,r?
?
HAS AN INTERIM REPORT
FINAL REPORT
PROTOTYPE
OR OT
.
.
.
HER END ITEM BEEN RECEIVED FROM THE CONTRACTOR
-
DURING THE PERIOD? 1
1 YES 0 NO (If yes, give details on reverse side.)
HAS GOVERNMENT-OWNED PROPERTY BEEN DELIVERED TO CONTRACTOR DURING THIS PERIOD? ^ YES ^ NO
(If
i
di
yes,
n
cate items, quantity, and cost on reverse side.)
INCENTIVES-
IS THIS AN INCENTIVE CONTRACT 0 YES Q NO
NOTE:
IF YES. CHECK TYPE
USE REVERSE SIDE FOR COMMENTS.
^ COST ^ PERFORMANCE DELIVERY
FINAL REPORT MUST CONTAIN INCENTIVE EVALUATION.
OVERALL PERFORMANCE OF CONTRACTOR
1. ^ OUTSTANDING 3. Q ABOVE AVERAGE 5. ^ BELOW AVERAGE 7. ^ UNSATISFACTORY
2. ^ EXCELLENT 4. ^ AVERAGE 6. ^ BARELY ADEQUATE
IF OVERALL PERFORMANCE OF CONTRACTOR IS UNSATISFACTORY OR BARELY ADEQUATE. INDICATE REASONS ON
REVERSE SIDE.
RECOMMENDED ACTION
r7l
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
DOES NOT
APPLY
RECD
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
'NGA review(s) completed.
SIGNATURE OF INSPECTOR DIVISION
INSPECT
Approved For Release 2006/02/07 : CIA-RDP78B04770A001800020025-
^ SECRET Approv or Release 2 / O Q I V 4 7 1 DL41%PtRPP78 77OA0018000SO SASS I F I ED
FORM
10-65 1897 PREVIOUS
EDITION
^ UNCLASSIFIED
^ CONFIDENTIAL
^ SECRET
 ^ SECRET ^ CONFIDENTIAL ^ UNCLASSIFIED
Approved or Release ZUUb/uzluf - -
NARRATIVE REPORT INTERIM ^ FINAL
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