521 BiWeekly Progress Report of Telephone Construciton & Eng

Expires: XX/XX/20XX
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0572-0059. The time required to complete this
information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information.
U.S. DEPARTMENT OF AGRICULTURE
No further loan advances may be made unless this report is
RURAL UTILITIES SERVICE
completed & filed as required (7 U. S. C. 901 et seq.)

BIWEEKLY PROGRESS REPORT OF TELEPHONE
CONSTRUCTION AND ENGINEERING SERVICES

PROJECT

WEEK ENDING

20

INSTRUCTIONS - Engineer prepares 5 copies of this form every other Friday night from time staking commences and continuing until completion of the project,
mail 1 copy to reach RUS Monday. Send 1 copy to RUS Field Engineer; 1 copy to Owner and retain 1 copy. Sections to be completed as applicable.
PART I OUTSIDE PLANT
(

)

FORCE ACCOUNT PROPOSAL NO.

CONTRACT NO.

CONSTRUCTION STATUS
TOTAL DOLLAR VALUE OF ASSEMBLY UNITS ON STAKING
SHEETS RELEASED TO DATE

TOTAL CONTRACT PRICE AS AMENDED: $
CONTRACT MILEAGE AS AMENDED
; MODIFICATIONS

EXCLUSIVE OF MODIFICATIONS

$

CONSTRUCTION COMPLETED
THIS WEEK

OPERATION

NEW
CONSTR.

TO DATE

MODIFICATIONS

NEW
CONSTR.

MODIFICATIONS

SCHEDULE TO DATE
NEW
CONSTR.

MODIFICATIONS

1. MILES STAKED
2. MILES RELEASED
3. MILES WITH RIGHT-OF-WAY CLEARED
4. MILES WITH POLES SET, GUYED, AND ANCHORED
5. MILES WITH AERIAL WIRE: AND AERIAL CABLE IN PLACE
6. MILES OF CABLE OR WIRE BURIED
7. MILES OF BURIED CABLE OR WIRE WITH PEDESTALS INSTALLED AND
SPLICING COMPLETED
8. NO. OF SERVICE DROPS AND TELEPHONE SETS INSTALLED
9. MILES INSPECTED WITH ACCEPTANCE TESTS COMPLETED
10. MILES INVENTORIED BY ENGINEER
DATE CONSTRUCTION STARTED

DATE CONSTRUCTION SCHEDULED TO BE
COMPLETED PER CONTRACT

20

ESTIMATED COMPLETION DATE OF
DATE CONSTRUCTION COMPLETED
CONSTRUCTION (Including time extentions and (Including cleanup)
cleanup)

20

20

20

CAUSES FOR DELAYED CONSTRUCTION - THIS WEEK (Check reasons)
WEATHER - NO. OF DAYS DELAYED BY:
SNOW

RAIN

FROST

WIND

RESULTS OF SNOW,
RAIN OR FROST

MATERIAL

PERSONNEL

EASEMENTS

STAKING

EQUIPMENT

REMARKS: (Explain delays)

FINAL INVENTORY DOCUMENTS
STATUS

SCHEDULED FOR SUBMISSION TO RUS FIELD ENGINEER

DATE SUBMITTED TO RUS FIELD ENGINEER

-

-

APPROVED (Items above):

NAME OF CONTRACTOR (or Owner if Force Account)

NAME OF ENGINEERING FIRM

SIGNATURE CONTRACTOR'S SUPT. (or System .Mgr. if Force Acct.)

SIGNATURE OF RESIDENT ENGINEER

EXTENSION OF CONSTRUCTION TIME
IT IS REQUESTED THAT THE TIME SPECIFIED FOR THE CONSTRUCTION OF THE PROJECT BE EXTENDED

DAYS FOR THE FOLLOWING REASONS:

APPROVED:

NAME OF OWNER

SIGNATURE AND TITLE
RUS FORM 521 REV. 7-77

NAME OF CONTRACTOR

SIGNATURE AND TITLE
PAGE 1 OF 2 PAGES

TEAR OFF THIS SHEET BEFORE PREPARING INFORMATION
WORKSHEET
PART II CENTRAL OFFICE EQUIPMENT (Contract No.

)

CONSTRUCTION STATUS

LOCATIONS

SCHEDULED

RECEIVED

INSTALLATION

DELIVERY

AT SITE

STARTED

DATE

DATE

DATE

-

-

-

-

-

SCHEDULED
COMPLETION
DATE PER
CONTRACT

-

-

-

EST. COMPLETION DATE OF
INSTALLATION
(Including
time ext.
and cleanup)

-

ACCUMULATED INSTALLATION

-

ACTUAL

% COMPLETE

COMPLETE

CUTOVER

TO DATE

DATE

DATE

-

-

-

-

-

-

FINAL DOCUMENTS
DATE SUBMITTED TO RUS FIELD ENGINEER

SCHEDULED FOR SUBMISSION TO RUS FIELD ENGINEER

-

-

-

-

PART III BUILDINGS (Contract No.

)

CONSTRUCTION STATUS
STARTING

LOCATION

DATE

-

-

SCHEDULED
COMPLETION
DATE PER
CONTRACT

-

-

EST. COMPLETION
DATE OF CONSTRUCTION

(including time ext.
and cleanup)

-

-

ACCUMULATED

DATE CONSTRUCTION

% COMPLETE
TO DATE

-

-

COMPLETED

(including cleanup)

-

-

FINAL DOCUMENTS
SCHEDULED FOR SUBMISSION TO RUS FIELD ENGINEER

-

-

DATE SUBMITTED TO RUS FIELD ENGINEER

-

-

REMARKS:

ENGINEER OR ARCHITECT
REMARKS:

CONTRACTOR
RUS FORM 521 REV. 3.63

PAGE 2 OF 2 PAGES