TECHNICAL EXHIBIT 4 DD 2772 - Contract Discrepancy Report.pdf

DoD Form PDF 61 KB Posted

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Unarmed Security Guard Protection USCG Sector New Orleans
Solicitation number
70Z02926QNEWO042
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About this file

This is a Contract Discrepancy Report form (DD Form 2772, September 1998) used in federal contracting to document and resolve performance or compliance issues identified during contract execution.

The form provides a structured process for identifying, communicating, and resolving contract discrepancies between government and contractor parties. Section 1-4 capture basic identification information including the contract number, report number, contractor/manager names, and Quality Assurance Evaluator (QAE) name. Section 5 documents three key dates: when the discrepancy report was prepared, when the contractor returned their response, and when corrective action was completed. Section 6 requires detailed description of the discrepancy or problem with reference to the Performance Work Statement (PWS) directive, with space for continuation sheets. Section 7 includes the Contracting Officer's signature authorizing the report. Section 9 requires the contractor to provide their response addressing the cause of the discrepancy, corrective actions taken, and preventive measures, with citation of applicable quality control procedures. Section 11 contains government evaluation of contractor response (acceptance, partial acceptance, or rejection) and Section 12 specifies any government actions such as reduced payment, cure notice, or show cause orders. Section 13 provides closeout documentation requiring signatures and dates from the contractor, QAE, and Administrative Contracting Officer (ACO).

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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:

File details come from the government source that posted it. Updated .