2.04.14 Attachment (13) - Contract Discrepancy Report DD2772.pdf
DoD Form Feb 4, 2014 PDF 43 KB Posted
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About this file
This is a DD Form 2772, Contract Discrepancy Report, which is a standardized federal form prescribed by the Defense Federal Acquisition Regulation Supplement (DFARS) 5220.22-V2 and the Federal Acquisition Regulation (FAR) 4.4. The form serves as a quality assurance and contract management tool used to document, track, and resolve discrepancies or problems identified during contract performance.
The form is divided into three main sections: initial discrepancy reporting, contractor response, and government evaluation and closeout. The Quality Assurance Evaluator (QAE) completes the first section by documenting the contract number, report number, contractor information, dates (prepared, returned by contractor, and action complete), and a detailed description of the discrepancy with references to the Performance Work Statement (PWS) or other applicable directives. The contractor then responds in section nine by explaining the cause of the discrepancy, outlining corrective actions, and describing preventive measures, citing relevant quality control procedures. The Contracting Officer completes section eleven by evaluating the contractor's response for acceptance, partial acceptance, or rejection, and specifies any government actions such as reduced payment, cure notices, or show cause orders in section twelve. The form concludes with a closeout section requiring signatures and dates from the contractor, QAE, and Administrative Contracting Officer (ACO) to document that all parties have been notified and the discrepancy has been resolved.
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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PREVIOUS EDITION IS OBSOLETE.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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| 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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| 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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