D.3 ATTACHMENT 3 CONTRACT DISCREPANCY REPORT.docx
DOCX document 16 KB Posted
- Solicitation number
- 36C26126Q0428
About this file
This is a Contract Discrepancy Report template designed for documenting and resolving contract performance issues between contractors and the government. The form provides a structured format for initiating, tracking, and closing out discrepancies or problems that arise during contract execution. Key fields include spaces for the contract number, report number, contractor and project officer information, date prepared, and completion date. The template is divided into three main sections: an initial discrepancy or problem statement signed by the Contracting Officer, a contractor response section where the contractor explains the cause, corrective action taken, and preventive measures to avoid recurrence, and a government evaluation section documenting government actions and closeout procedures. Signature lines and dates are required from both the Contracting Officer and Contractor Representative to establish accountability and documentation of the issue resolution process.
This document serves as an administrative tool for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 21 in managing contract compliance matters related to solicitation 36C26126Q0428 for J045 CFA Exhaust Fan Repair and Maintenance services. The form enables systematic tracking of contract performance discrepancies from identification through final resolution and closeout notification to both parties.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C26126Q0428 0001.docx | DOCX document | |
| RFQ 36C26126Q0428.Exhaust Hood.459.pdf | ||
| D.6 ATTACHMENT 6 DOL WAGE DETERMINATION 2015-5689 REV.27, DATED 12-03-2025 - HAWAII.SAMOA.pdf | ||
| D.4 ATTACHMENT 4 EXHAUST SPECIFICATIONS.pdf | ||
| D.7 ATTACHMENT 7 PAST PERFORMANCE SURVEY.docx | DOCX document | |
| D.5 ATTACHMENT 5 CFA EXHAUST LOCATIONS.pdf | ||
| D.2 ATTACHMENT 2 QUALITY ASSURANCE MONITORING FORM.docx | DOCX document | |
| 36C26126Q0428_1.docx | DOCX document | |
| D.1 ATTACHMENT 1 QUALITY ASSURANCE SURVEILLANCE PLAN.docx | DOCX document |
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Text version
ATTACHMENT 3 – CONTRACT DISCREPANCY REPORT
Contract No.
Report No. for this Discrepancy:
Contractor/Manager’s Name:
From: (Name of Project Officer)
Dates
Prepared:
Returned by Contractor:
Action Complete:
Discrepancy or Problem:
Signature of Contracting Officer:
To: (Contracting Officer)
From: (Contractor)
Contractor Response as to Cause, Corrective Action and Actions to Prevent Recurrence (Attach Continuation Sheet if Necessary)
Signature of Contractor Representative:
Date:
Government Evaluation:
Government Actions:
Close Out
| Name |
| Title |
| Signature |
| Date |
Contractor Notified
Project Officer
Contracting Officer
File details come from the government source that posted it. Updated .