36C10G18R0093-003.pdf

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Positive Airway Pressure Devices and Accessories
Solicitation number
36C10G18R0093
Issued by

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This document contains a pre-solicitation notice and description for a federal contract opportunity. The Department of Veterans Affairs Strategic Acquisition Center intends to issue a solicitation for the continuous supply of brand name or equal Positive Airway Pressure devices and accessories for in-home use by Veteran patients across the VA healthcare system. These devices, including CPAP, BiPAP and VPAP, are used to treat moderate and severe sleep apnea. The Government anticipates awarding multiple-award IDIQ contracts to up to eight Veteran-Owned Small Businesses for an initial one-year base period and one optional one-year extension. A draft RFP will be posted on December 15, 2017 for industry feedback, with the final solicitation on December 31, 2017. All responsible sources must be registered in SAM and VIP by the solicitation date.

36C10G18R0093 Attachment A - Contract Discrepancy Report.pdf

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Text version

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

DD FORM 2772, SEP 1998 REPLACES MT FORM 352-R, WHICH IS OBSOLETE. Adobe Professional 8.0

ctr_no:
rpt_no:
to:
from:
prep_date:
ret_date:
comp_date:
discrep:
to_ctr:
from_ctr:
ctr_resp:
rep_date:
govt_eval:
govt_act:
notif_name:
notif_title:
notif_date:
qae_name:
qae_title:
qae_date:
aco_name:
aco_title:
aco_date:
Reset:

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