Attachment F - Contract Deficiency Report.docx

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Attached to
6540--Cancelation: FY23: VISN 8 Eyeglasses Requirement
Solicitation number
36C24823R0045
Issued by

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This solicitation is for prescription eyeglasses for eligible beneficiaries of Veterans Integrated Service Network 8. The contractor shall provide completely assembled eyeglass frames placed in standard alignment including mounting of lenses. All items must be new and fabricated in strict conformance with the eyeglass prescription provided by authorized VA staff. The contractor must verify final eyeglasses with the prescription and ship to the designated address. A secure web-based portal is required to allow VA to track order status and exchange billing and payment information. The contractor shall provide a one-year warranty against defects in materials and workmanship and make corrections at no cost for incorrect prescriptions. Ordering is done through the Prosthetic and Sensory Aids Service by individual ordering and payment processes for beneficiaries in VISN 8, with volumes fluctuating dependent on additions or removals over the contract term.

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36C24823R0045_15.docx DOCX document
36C24823R0045 0011.pdf PDF
36C24823R0045_14.docx DOCX document
36C24823R0045_13.docx DOCX document
36C24823R0045 0010.pdf PDF
ATTACHMENT D - CONTRACT DEFICIENCY REPORT - SAMPLE.docx DOCX document
ATTACHMENT B - QUALITY ASSURANCE SURVEILLANCE PLAN - SAMPLE.doc DOC document
36C24823R0045_12.docx DOCX document
ATTACHMENT A - COST AND PRICE SCHEDULE - AS OF 9-12-24.xlsx XLSX spreadsheet
ATTACHMENT E - EYEGLASS DETAILED BILL - SAMPLE.xlsx XLSX spreadsheet
36C24823R0045 0009.pdf PDF
VISN 8 RFP 36C24823R0045 - AS OF 09-12-24.pdf PDF
ATTACHMENT C - PATIENT SATISFACTION QUESTIONNAIRE - SAMPLE.docx DOCX document
36C24823R0045_10.docx DOCX document
NEW Final Attachment A COST PRICE SCHED.xlsx XLSX spreadsheet
RFP 36C24823R0045 03-30.docx DOCX document
36C24823R0045_9.docx DOCX document
36C24823R0045 0007 02.docx DOCX document
36C24823R0045_8.docx DOCX document
NEW Attachment A COST PRICE SCHED.xlsx XLSX spreadsheet
36C24823R0045 0003- 3.docx DOCX document
Questions and Anwsers 3-24-2023.pdf PDF
36C24823R0045 0002 - 2.docx DOCX document
36C24823R0045_7.docx DOCX document
36C24823R0045 0004 -4.docx DOCX document
36C24823R0045 0006.pdf PDF
RFP 36C24823R0045 03-24.pdf PDF
36C24823R0045 0005 - 5.docx DOCX document
36C24823R0045 0001 (2).docx DOCX document
NEW - Attachment A - COST PRICE SCHED.xlsx XLSX spreadsheet
RFP 36C24823R0045 03-15.docx DOCX document
36C24823R0045_6.docx DOCX document
NEW - Attachment A - COST-PRICE SCHEDULE.xlsx XLSX spreadsheet
36C24823R0045 0001.docx DOCX document
Questions and Anwsers 3-14-2023.docx DOCX document
36C24823R0045 0004.docx DOCX document
36C24823R0045 0002.docx DOCX document
36C24823R0045_5.docx DOCX document
RFP 36C24823R0045 03-15-2023.docx DOCX document
36C24823R0045 0003.docx DOCX document
36C24823R0045_4.docx DOCX document
NEW Attachment A - COST-PRICE SCHEDULE.xlsx XLSX spreadsheet
36C24823R0045_3.docx DOCX document
Attachment D-Eyeglass Detailed Bill Sample.xlsx XLSX spreadsheet
Attachment C - Quality Assurance Surveillance Plan.doc DOC document
Attachment E - Patient Satisfaction Survey - VISN 8 Eyeglasses.docx DOCX document
RFP 36C24823R0045 3-3-23.pdf PDF
36C24823R0045_2.docx DOCX document
RFP 36C24823R0045.pdf PDF
ATTACHMENT A COST-PRICE SCHEDULE.xlsx XLSX spreadsheet
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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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