2.04.14 Attachment (13) - Contract Discrepancy Report DD2772.pdf
DoD Form Feb 4, 2014 PDF 43 KB Posted
- Attached to
- Bridge DPM Contract Schedule III
- Solicitation number
- N0060426Q4022
About this file
This is a DD Form 2772, Contract Discrepancy Report template, prescribed by federal regulation 5220.22-V2 and FAR 4.4. The form serves as a standardized document for documenting and resolving contract performance issues between government contracting officers and contractors.
The form establishes a structured workflow for identifying, reporting, and resolving contract discrepancies. Section 6 requires detailed description of the discrepancy or problem with reference to the Performance Work Statement (PWS) directive. The contractor must provide written response in Section 9 addressing the cause of the discrepancy, corrective actions taken, and preventive measures, including citations to quality control program procedures. The government contracting officer evaluates the contractor's response in Section 11 and specifies any government actions in Section 12, which may include reduced payment, cure notices, show cause orders, or other remedial measures. The form includes mandatory fields for dates (prepared, returned by contractor, and action complete in YYYYMMDD format), signatures and titles from the Quality Assurance Evaluator (QAE), contracting officer, and contractor representative, and a closeout section requiring notification and sign-off from the contractor, QAE, and Administrative Contracting Officer (ACO). This template does not address specific products, services, or contract vehicles but rather provides the procedural framework for contract quality assurance and dispute resolution.
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Text version
Prescribed by: 5220.22-V2; FAR 4.4;
PREVIOUS EDITION IS OBSOLETE.
DD FORM 2772, SEP 1998
CONTRACT DISCREPANCY REPORT
1. CONTRACT NUMBER 2. REPORT NUMBER FOR THIS DISCREPANCY
3. TO (Contractor and Manager's Name) 4. FROM (Name of QAE)
5. DATES (YYYYMMDD)
a. PREPARED b. RETURNED BY CONTRACTOR c. ACTION COMPLETE
6. DISCREPANCY OR PROBLEM (Describe in detail. Include reference to PWS Directive; attach continuation sheet if necessary.)
7. SIGNATURE OF CONTRACTING OFFICER
8a. TO (Contracting Officer) b. FROM (Contractor)
9. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. (Cite applicable Q.C. program procedures or new Q.C. procedures. Attach continuation sheet(s) if necessary.)
10. SIGNATURE OF CONTRACTOR REPRESENTATIVE b. DATE (YYYYMMDD)
11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, reflection. Attach continuation sheet(s) if necessary)
12. GOVERNMENT ACTIONS (Reduced payment, cure notice, show cause, other)
13. CLOSE OUT
NAME
(1)
TITLE
(2)
SIGNATURE
(3)
DATE (YYYYMMDD)
(4)
a. CONTRACTOR
NOTIFIED
b. QAE
c. ACO
DRAFT
SAMPLE
PREVIOUS EDITION IS OBSOLETE.
DD FORM 2772, SEP 1998
NEEDS DD67
Page of Prescribed by: 5220.22-V2; FAR 4.4;
DRAFT
INSTRUCTIONS
NEEDS DD67
PREVIOUS EDITION IS OBSOLETE.
DD FORM XXXX, 20YYMMDD DRAFT
Page of
CONTRACT DISCREPANCY REPORT
5. DATES (YYYYMMDD)
13. CLOSE OUT
NAME (1)
TITLE (2)
SIGNATURE (3)
DATE (YYYYMMDD)
(4)
a. CONTRACTOR NOTIFIED
b. QAE
c. ACO 9.0.0.2.20120627.2.874785 DD Form 2772, "CONTRACT DISCREPANCY REPORT"
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| 5. DATES (YYYYMMDD) - a. PREPARED: |
| 5. DATES (YYYYMMDD) - b. RETURNED BY CONTRACTOR: |
| 5. DATES (YYYYMMDD) - c. ACTION COMPLETE: |
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| 8a. TO (Contracting Officer) - enter recipient information: |
| 8b. FROM (Contractor) - enter sender information: |
| 9. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. (Cite applicable Q.C. program procedures or new Q.C. procedures. Attach continuation sheet(s) if necessary.): |
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| 10b. DATE (YYYYMMDD): |
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| twelve: |
| 13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (1) NAME: |
| 13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (2) TITLE: |
| 13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (3) SIGNATURE: |
| 13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (4) DATE (YYYYMMDD): |
| 13. CLOSE OUT - b. QAE - (1) NAME: |
| 13. CLOSE OUT - b. QAE - (2) TITLE: |
| 13. CLOSE OUT - b. QAE - (3) SIGNATURE: |
| 13. CLOSE OUT - b. QAE - (4) DATE (YYYYMMDD): |
| 13. CLOSE OUT - c. ACO - (1) NAME: |
| 13. CLOSE OUT - c. ACO - (2) TITLE: |
| 13. CLOSE OUT - c. ACO - (3) SIGNATURE: |
| 13. CLOSE OUT - c. ACO - (4) DATE (YYYYMMDD): |
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