CONTRACT INSPECTION REPORT

• Document Type: CREST
• Collection: NGA Records (Formerly NIMA)
• Document Number (FOIA) /ESDN (CREST): CIA-RDP78B04747A001600020074-2
• Release Decision: RIPPUB
• Original Classification: C
• Document Page Count: 2
• Document Creation Date: December 28, 2016
• Document Release Date: April 19, 2000
• Sequence Number: 74
• Publication Date: June 18, 1965
• Content Type: FORM

^ UNCLASSIFIED
CONTRACT INSCTION REPORT
_ 25X1A
10:
DATE 18 y
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ENGINEERING SECTION/CB/PD/OL
INSPECTION REPORT NO. (II final, ^o state)
20 tCd
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ESTIMAATEEDCOMPLETION DATE
NAME OF CONTRACTOR 25X1 A
DECLASSIFICATION REVIEW BY NIMA /
DoD
TYPE OF COMMODITY
OR SERVICE
+
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i. i C 'dnato a
THE CONTRACTOR IS ON SCHEDULE x
THE CON ACTOR WILL PROBABLY REMAIN WITHIN ALLOCATED
FUNDS YES 0 NO IF ANSWER IS "NO" ADVISE REC-
^
YES D
OMMENDATION AND/OR ACTION OF SPONSORING OFFICE. ON
REVERSE HEREOF. IF KNOWN, INDICATE MAGNITUDE OF AD-
PER CENT OF WORK COMPLETED - 1OO
DITIONAL FUNDS INVOLVED.
PER CENT OF FUNDS EXPENDED -
HAS AN INTERIM REORT. FINAL REPORT. PROTOTYPE. OR OTHER END ITEM BEEN RECEIVED FROM THE CONTRACTOR
DURING THE PERIOD?, ^ YES ? wo (If yes, give details on reverse side.)
HAS GOVERNMENT-OWNED PROPERTY BEEN DELIVERED TO CONTRACTOR DURING THIS PERIOD? ^ YES ? NO
(If yea, indicate items, quantity, and cost on reverse side.)
INCENTIVES
IS THIS AN INCENTIVE CONTRACT O YES ND
NOTE:
IF YES, CHECK TYPE
USE REVERSE SIDE FOR COMMENTS.
13 cast 0 PERFORMANCE DELIVERY
FINAL REPORT MUST CONTAIN INCENTIVE EVALUATION.
OVERALL PERFORMANCE OF CONTRACTOR
1. L OUTSTANDING 3. ABOVE AVERAGE S. 1 1 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
1:1 CONTINUE AS PROGt-AMMtD ^ WITHHOLD PAYMENT PENDING
SATISFACTORY PERFORMANCE
x
^ 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
RECD
DOES NOT
-~-
PROTOTYPES
-
MANUALS
DRAWINGS AND SPECIFICATIONS
FINAL REPORT
PRODUCTION AND/OR OTHER
X
SPECIAL TOOLING
END ITEMS
OTHER GOVERNMENT PROPERTY
=
DATE OF LAST1IW fNTRACTOR
SIGNATURE OF INSPECTOR
DIVISION
25X1A
I
INSPECTOR'S EXTENSION
SIGNAT
SECRET X2+04
10.44 1897 PREVIOUS
ED ITIsk
^ UNC LASS I F I ED
^ SECRET
 ^ SECRET
Approved For Kele se;
NARRATIVE REPORT
^ UNCLASSIFIED
0074-2
0 INTERIM fl FINAL
verformne ha been 0 ave
25X1A
the
Approved For Release 2000/06/07 : CIA-RDP78B04747A001600020074-2
^ UNCLASSIFIED [ CONFIDENTIAL
^ SECRET