STATUS REPORT NUMBER
REPORT CONTROL SYMBOL
CONTRACT TERMINATION STATUS REPORT
DATE (YYYYMMDD)
SECTION I
1.
NAME OF CONTRACTOR (25 positions)
2. ADDRESS OF CONTRACTOR (15 positions)
3.
BRIEF DESCRIPTION OF ITEM TERMINATED (15 positions)
DATA
4.
REGION/DISTRICT/PLANT
5.
CONTRACT NUMBER
SECTION II
6. EFFECTIVE DATE OF TERMINATION
7. DATE OF ASSIGNMENT
8. TERMINATION (P - Partial, C - Complete)
9. TYPE OF CONTRACT, FP-FPI-CPF-CPIF-LETTER
10. AMOUNT OF CONTRACT INCLUDING ALL SUPPLEMENTS
11. CONTRACT PRICE OF ITEMS TERMINATED
12. AMOUNT OF EXCESS FUNDS RELEASED
SECTION III
13. STATUS OF SETTLEMENT (See Instructions)
14. DATE CONTRACTOR'S CLAIM RECEIVED (Interim - Final)
15. AMOUNT OF PRIME CONTRACTOR'S OWN CHARGES
16. AMOUNT OF COST VOUCHERS PAID TO DATE - CPF - CPIF
17. AMOUNT OF ADVANCE PROGRESS OR PARTIAL PAYMENTS
18. VALUE OF TERMINATION INVENTORY
19. AMOUNT OF DISPOSAL CREDITS
20. GROSS SETTLEMENT AMOUNT (VO-RE-NC-NS-UD) (See Instructions)
21. NET SETTLEMENT AMOUNT (VO-RE-NC-NS-UD) (See Instructions)
22. CLOSING DATE
SECTION IV
23. NUMBER OF SUBCONTRACTORS' CLAIMS SUBMITTED
24. NUMBER OF SUBCONTRACTORS' CLAIMS APPROVED
a. APPROVED BY TCO
b. APPROVED BY CONTRACTOR UNDER DELEGATION
25. AMOUNT OF SUBCONTRACTORS' CLAIMS SUBMITTED
26. AMOUNT OF SUBCONTRACTORS' CLAIMS APPROVED
SECTION V
27.
TYPE OF REPORT (See Instructions)
28.
DOCKET NUMBER
29.
ADVANCE SUPPLEMENTAL AGREEMENT OR AMENDMENT NUMBER
30.
a. CONTRACTING ACTIVITY NAME
b. PROCURING CONTRACTING OFFICER NAME/CODE
c. MAILING ADDRESS
31.
TYPED NAME OF TERMINATION CONTRACTING OFFICER
32.
SIGNATURE
DD FORM 1598, JAN 2001
PREVIOUS EDITION MAY BE USED.
LOCAL REPRODUCTION AUTHORIZED.
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