CONTRACT MONITOR SEMIANNUAL REPORTING FORM
This form must be completed and submitted on a semiannual basis to the DMA Centralized Services Division at PO Box 4789, Fort Harrison, Montana 59636-4789. You must retain a copy of the report for your contract monitoring file.
This form should be submitted electronically to: .
This report is due by the 25th of the month following the end of semiannual period (Change dates to fit your contract as necessary):
Revised 1/04/2013
· 1st semiannual report January 25th
· 2nd semiannual report July 25th
Revised 1/04/2013
1. Contract number:
2. Contractor name:
3. Contracted Service:
4. Reporting period (check one):
Contract Year (Change the months of the semiannual period to fit your contract as necessary)
1st semi period (July, Aug, Sept, Oct, Nov, Dec)
2nd semi period (Jan, Feb, Mar, Apr, May, June)
5. Contract Liaison:
6. Payment Information (This section should cover all cost incurred based on contractor submitted invoices that are submitted to CSD for payment during reporting period. Payment numbers provided on this report should also match on your submitted contract invoice tracking spreadsheet):
a. Total payments or invoices not yet paid to date for this contract reporting period: $
b. Contract “not to exceed” amount (if listed in contract): $
c. Balance remaining on Contract: $
7. Does Contractor submit accurate invoices that include the contract number and are in accordance with compensation language in the Contract?
Yes
No Please explain
Please explain any action taken to correct this problem prior to this report:
8. Is Contractor providing all required services in accordance with the Contract?
Yes
No Please explain:
Please explain any action taken to correct this problem prior to this report:
9. Is Contractor responsive to inquiries?
Yes
No Please explain:
10. Has any of the contract liaison information in this Contract changed?
No
Yes Please explain:
11. Have any of the Duties/Responsibilities of Contractor changed?
No
Yes Please explain:
12. Are you aware of any Contract changes that should be made (contract changes generally require an official action, such as an amendment of the contract)?
No
Yes Please explain:
13. Do you have any suggestions on how the Centralized Services Division might help to improve this Contract?
No
Yes Please explain:
WHEN SUBMITTING YOUR CONTRACT LIAISON SEMIANNUAL REPORTING FORM, ATTACH A COPY OF YOUR CURRENT CONTRACT INVOICE TRACKING SHEET FOR REFERENCE.
Revised 1/04/2013