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 LANTNAVFACENGCOM A&E GUIDE
4/17/93
INSTRUCTIONS FOR COMPLETING CONTRACT PERFORMANCE STATEMENT
LANTDIV NORVA 4-7300/18 (New 2-81)
(See Sample - Page 1-15)
Centered at the top of the page, type the name of the firm.
Location - General Area of the Contract
INSTRUCTIONS:
COLUMN
Construction contract number (if applicable, from Appendix A) or
(1)
LANTNAVFACENGCOM Job Order Number
(DO NOT USE SPECIAL PROTECT NUMBER)
Description of title of the project with the type of service broken down
(2)
into categories as shown by Appendix A scope paragraph "Fees and
Options" (i.e., Design, Engineering Services, Travel, Shop Drawings,
As-Builts) starting with the basic award and for each change order
Total fees involved with each line item as annotated in the Appendix A
(3)
(total (B) corresponds with Item #7 on the invoice)
Percentage complete (total corresponds with Item #3 on the invoice)
(4)
Total value of work performed (total corresponds with Item #9 on
(5)
invoice)
Total amount paid (total corresponds with Item #10 on invoice)
(6)
Amount invoiced (total corresponds with Item #11 on invoice)
(7)
NOTES:
A&E CONTRACT NUMBER REQUIRED
(A)
EACH LINE ITEM MUST BE EXTENDED AND TOTALED AT THE BOTTOM
(B)
1-14
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