CONTRACT INSPECTION REPORT

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP79B00873A000800020020-3
• Release Decision: RIPPUB
• Original Classification: C
• Document Page Count: 2
• Document Creation Date: December 28, 2016
• Document Release Date: October 16, 2012
• Sequence Number: 20
• Publication Date: September 29, 1967
• Content Type: FORM

Declassified in Part - Sanitized Copy Approved for Release 2012/10/16: CIA-RDP79B00873A000800020020-3
0
CONTRACT NO.
TASK NO.
CONTRACT INSPECTION REPORT
25X1
TO:
DATE
r-9 der 1967
CONTRACT ADMINISTRATION & SETTLEMENT
INSPECTION REPORT NO. (If final, so state)
BRANCH/PD/OL
1
ESTIMATED COMPLETION DATE
,0 = 1560
NAME OF CONTRACTOR
L 25X1
TYPE OF COMMODITY OR SERVICE
Scicntific =1 TocrsicnI I3 sc'tup for U co rcb ftvZrnns
THE CONTRACTOR ON SCHEDULE
THE CON? CTOR WILL PROBABLY REMAIN WITHIN ALLOCATED
FUNDS 0 YES 0 NO IF ANSWER IS "NO" ADVISE REC-
YES NO
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
HAS AN INTERIM R ORT, FINAL REPORT. PROTOTYPE. OR OTHER END ITEM BEEN RECEIVED FROM THE CONTRACTOR
DURING THE PERIOD? YES O NO (If yes, give details on reverse side.)
HAS GOVERNMENT-OWNED PROPERTY BEEN DELIVERED TO CONTRACTOR DURING THIS PERIOD? 0 YES NO
(If yes, indicate items, quantity, and cost on reverse side.)
INCENTIVES
IS THIS AN INCENTIVE CONTRACT YES 0 NO
NOTE:
IF YES. CHECK TYPE
USE REVERSE SIDE FOR COMMENTS.
0 COST 0 AWARD 0 PERFORMANCE 0 DELIVERY
FINAL REPORT MUST CONTAIN INCENTIVE EVALUATION.
FEE
OVERALL PERFORMANCE OF CONTRACTOR
1. OUTSTANDING 4. a ABOVE AVERAGE 7. Q 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
ecif
)
OTHER (S
^
y
p
TERMINATE
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
SPECIAL TOOLING
END ITEMS
'
RNMENT PROPERTY
OTHER GOVE
Q i7CONTR ACTOR
DAT E't .K~F 61tmT6i-T b.
/
cZTnNAT11OP
DIVISION
25X1
L
SIGNATURE OF APPROVER
FORM USE
R IOUS
.Afi 1897 PREV
f UNCLASSIFIED
Ffl CONFIDENTIAL fl SECRET.
Declassified in Part - Sanitized Copy Approved for Release 2012/10/16: CIA-RDP79B00873A000800020020-3
 M crrprT IVI rnurInrITIAI f'1IIN/'1AceIrirn
Declassified in Part - Sanitized Copy Approved for Release 2012/10/16: CIA-RDP79B00873A000800020020-3
9 INTERIM 0 FINAL
^ UNCLASSIFIED CONFIDENTIAL .SECRET
Declassified in Part - Sanitized Copy Approved for Release 2012/10/16: CIA-RDP79B00873A000800020020-3