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 CONTRACT PERFORMANCE STATEMENT
The Contract Performance Statement is a breakdown and description of the job
elements as set forth in the contract. This form is used to account for the
amount of work completed.
The Contract Performance Statement is completed as follows:
- Contract Performance Statement for Period Ending _________(Date)_________
- Contract number and title
- Column (1):
Modification or Delivery Order No.
- Column (2):
Brief description of the project Amendment No.
- Column (3): Total value of the modification or delivery order (design/
engineering services)
- Column (4):
Percent of work completed for each modification or delivery
order
- Column (5):
The total value of work completed
- Column (6): The previous total paid on each modification or delivery
order (Column 5 minus Column 6).
- Column (7): The requested payment amount for each modification or delivery
order (Column 5 minus Column 6).
- Columns (8) through (11) are completed by the Government.
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