CONTRACT INSPECTION REPORT

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04747A000900010008-4
• Release Decision: RIPPUB
• Original Classification: C
• Document Page Count: 2
• Document Creation Date: December 28, 2016
• Document Release Date: May 2, 2012
• Sequence Number: 8
• Publication Date: May 11, 1965
• Content Type: FORM

Declassified in Part - Sanitized Copy Approved for Release 2012/05/02 : CIA-RDP78B04747A00r0900010008-4 FI ED
CONTRACT NO.
TASK NO.
CONTRACT INSPECTION REPORT
25X1
TO:
DATE
I I war In"
ENGINEERING SECTION/CB/PD/OL
INSPECTION RE RT 0? (If final, so state)
ESTIMAT' C ON DATE
NAME OF CONTRACTOR
TYPE OF COMMODITY 0
THE CONTRACTOR IS ON CHEDULE
T CONTRACTOR WILL PROBABLY REMAIN WITHIN ALLOCATED
FUNDS Ln YES NO IF ANSWER IS "NO" ADVISE REC.
YES NO
13
OMMENDAT 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 uInt
HAS AN INTERIM REPORT, FINAL REPORT. PROTOTYPE. OR OTHER END ITEM BEEN RECEIVED FROM THE CONTRACTOR
DURING THE PERIOD?, YES Q No (If yes, give details on reverse side.)
HAS GOVERNMENT-OWNED PROPERTY BEEN DELIVERED TO CONTRACTOR DURING THIS PERIOD? 0 YES N.
(If yes, indicate items, quantity, and cost on reverse side.)
INCENTIVES
IS THIS AN INCENTIVE CONTRACT 0 YES No
NOTE:
IF YES, CHECK TYPE
USE REVERSE SIDE FOR COMMENTS.
0 COST 0 PERFORMANCE DELIVERY
FINAL REPORT MUST CONTAIN INCENTIVE EVALUATION.
OVERALL PERFORMANCE OF CONTRACTOR
1. OUTSTANDING 3. ABOVE AVERAGE S. BELOW AVERAGE 7. ^ UNSATISFACTORY
2. a EXCELLENT 4. Q AVERAGE 6. ^ BARELY ADEQUATE
IF OVERALL PERFORMANCE OF CONTRACTOR IS UNSATISFACTORY OR BARELY ADEQUATE, INDICATE REASONS ON
REVERSE SIDE.
RECOMMENDED ACTION
U CONTINUE AS PROGRAMMED WITHHOLD PAYMENT PENDING
SATISFACTORY PERFORMANCE
TERMINATE UI 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
CD
NOT
APPLY
APPLY
PROTOTYPES
x
MANUALS
Z
DRAWINGS AND SPECIFICATIONS
X
FINAL REPORT
X
PRODUCTION AND/OR OTHER
SPECIAL TOOLING
X
END ITEMS
OTHER GOVERNMENT PROPERTY
Z
DATE OF LAST CONTACT WITH CONTRACTOR
SIGNATURE
DIVISION
TIM
INSPECTOR'
SIGNATURE OF APPRAVER
FORM IQA7 U.S.E__ 11 IIUrIAQQlrlcn (-1 rnuclnruTIAI n QV1%DVT
12.96)
Declassified in Part - Sanitized Copy Approved for Release 2012/05/02 : CIA-RDP78BO4747A000900010008-4
 I-I ernorTr n r nmr i nrUT I A I . 1I F 7711 D
Declassified in Part - Sanitized Copy Approved for Release 2012/05/02 : CIA-RDP78BO4747A000900010008-4 -7
NARRATIVE REPORT ^ INTERIM ^ FINAL
t.% c D -71"1 the
L
D UNCLASSIFIED ^ CONFIDENTIAL ^ SECRET
Declassified in Part - Sanitized Copy Approved for Release 2012/05/02 : CIA-RDP78BO4747A000900010008-4