2.04.14 Attachment (13) - Contract Discrepancy Report DD2772.pdf

43 KB Posted

Attached to
Bridge DPM Contract Schedule III
Solicitation number
N0060426Q4022
Issued by

About this file

Written by GovTribe AI ·

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.

View the file

Other files

File Type Posted
2.04.12 Attachment (11) - DTR Appx A-R - Shipping Label Guide.pdf PDF
2.04.10 Attachment (9) - DTR Appx A-D - Pre-Award Survey Guide, DD Form 1811.pdf PDF
2.04.15 Attachment (14) - Set-Off Action Form.xlsx XLSX spreadsheet
2.04.4 Attachment (3) - DTR Appx A-G, Att A-G1 - Figures.pdf PDF
2.04.9 Attachment (8) - DTR Appx A-G, Att A-G7 - DPM TPPS.pdf PDF
2.04.23 Attachment (20) - Provision & Clauses.pdf PDF
2.04.3 Attachment (2) - Weight Estimator.xlsx XLSX spreadsheet
2.04.16 Attachment (15) - Invoice Submission Form (SAMPLE).xlsx XLSX spreadsheet
2.04.17 Attachment (16) - WD 2015-5689 rev. 28.pdf PDF
2.04.11 Attachment (10) - DTR Appx A-E - Warehouse Inspection, DD Form 1812.pdf PDF
2.04.13 Attachment (12) - Data Item Description (DIDs).docx DOCX document
2.04.2 Attachment (1) - Pricing Worksheet.xlsx XLSX spreadsheet
2.04.8 Attachment (7) - DTR Appx A-G, Att A-G6 - DPM Claims & Liability.pdf PDF
2.04.21 Attachment (18) - DPM PWS V3.pdf PDF
2.04.22 Attachment (19) - DPM QASP V3.pdf PDF
2.04.24 Attachment (21) Combin Syn-Sol 26Q4022.pdf PDF
2.04.6 Attachment (5) - DTR Appx A-G, Att A-G4 - Definitions.pdf PDF
2.04.5 Attachment (4) - DTR Appx A-G, Att A-G2 - Publications.pdf PDF
2.04.7 Attachment (6) - DTR Appx A-G, Att A-G5 - Acronyms.pdf PDF
2.04.20 Attachment (17) – DD Form 2018, Report of Packaging and Crating Contract Violation(s).xls XLS spreadsheet
Show all 20

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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"

Click this button to save this form.:
Click this button to print this form.:
Click this Reset button to erase data from all fields.:
CurrentPage:
PageCount:
one:
two:
three:
four:
5. DATES (YYYYMMDD) - a. PREPARED:
5. DATES (YYYYMMDD) - b. RETURNED BY CONTRACTOR:
5. DATES (YYYYMMDD) - c. ACTION COMPLETE:
TextField2:
SignatureField1:
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.):
SignatureField2:
10b. DATE (YYYYMMDD):
eleven:
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):

File details come from the government source that posted it. Updated .