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NMCARS ANNEX 5 - TERMINATION REPORT

ANNEX 5 - TERMINATION REPORT

Contractor Name:

Contract Number:

Contractor Address:

Revision to Input Submitted:

DUNS Number:

CAGE Code:

Contract Value: $

FSC:

Estimated Termination Value: $

CPARS Input Submitted? Yes ☐ No

Order/Modification number

Full or Partial Termination

General Description of Supply or Service:

Reason for Termination:

Additional Relevant Information: (Reference if this is update to previous report.)

Contracting Officer:

Phone Number:

( ) -

Contracting Officer Address:

Email Address:

Activity:

Point of Contact:

Phone Number:

Comm: ( ) -

DSN: -

Point of Contact Address:

Email Address:

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