ATTACHMENT D - CONTRACT DEFICIENCY REPORT - SAMPLE.docx

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6540--Cancelation: FY23: VISN 8 Eyeglasses Requirement
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36C24823R0045
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This document is a sample Contract Deficiency Report (CDR), which is used to document and address deficiencies in contract performance. The CDR includes key details such as the contract number, report number, the Contracting Officer's Representative (COR) information, and the date the CDR was prepared, returned by the contractor, and action completed.

The CDR describes the discrepancy or problem in detail, referencing the applicable Performance Work Statement (PWS) directive. It requires signatures from the COR and Contracting Officer. The contractor is then required to provide a response addressing the cause, corrective action, and actions to prevent recurrence. The government then evaluates the contractor's response and documents any acceptance, partial acceptance, or rejection, as well as the government's actions. The CDR is then closed out with notification to the contractor, COR, and Contracting Officer.

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ATTACHMENT C: Contract Deficiency Report

CONTRACT DISCREPANCY REPORT

1. CONTRACT NUMBER
2. REPORT NUMBER FOR THIS DISCREPANCY
3. TO: (Contracting Officer)
4. FROM: (Name of COR)

5. DATES

a. CDR 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 COR
Date:
8. SIGNATURE OF CONTRACTING OFFICER
Date:
9a. TO (Contracting Officer)
9a. FROM (Contractor)

10. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. (Cite applicable quality control program procedures or new procedures. Attach continuation sheet(s) if necessary.)

11. SIGNATURE OF CONTRACTOR REPRESENTATIVE
Date:

12. GOVERNMENT EVALUATION. (Acceptance, partial acceptance, reflection. Attach continuation sheet(s) if necessary.)

13. GOVERNMENT ACTIONS (Acceptance, partial acceptance, reflection. Attach continuation sheet(s) if necessary.)

14. CLOSE OUT

NAME
TITLE
SIGNATURE
DATE

a. CONTRACTOR NOTIFIED

b. COR

c. CONTRACTING OFFICER

CRG Chapter 7 Appendix F COR Roles and Responsibilities Page 1 of 4 Revision 01 Effective Date: 08/15/2022

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