Quality Deficiency Notice EXAMPLE.docx

Quality Deficiency Notice This form shall be filled out and submitted to the contractor when deficiencies are found during the COR’s inspections.

QUALITY DEFICIENCY NOTICE

NAME OF CONTRACTOR CONTRACTOR ADDRESS

XXXX Cleaning Services 333 Smith St. Ste. 201 San Francisco, CA 94102

CONTRACT NO. GS-09P-06-KSD-0000

A deficiency exists in your quality control system. The nature of the deficiency is

Continuous findings on 3rd floor men's restroom (M) 3-5171-Rust on toilet base under bolt of toilet. Rust needs to be removed and base needs to be cleaned.

Immediate action is required to correct the deficiency and the condition that caused it. Failure to take acceptable corrective action on time may result in termination of your right to proceed with this contract.

Please provide a written response of corrective action taken to the CO or their designee within _______ workdays after receiving this notice.

EVALUATION OF CORRECTION ACTION

□ Corrective action verified and found acceptable

□ Corrective action not acceptable and /or not implemented (Explain below) This matter is being referred to the Contracting Officer for action. Direct further correspondence on this matter to the CO.

QAS SIGNATURE DATE

RECEIPT ACKNOWLEDGED DATE