Attachment 4_Contract Discrepancy Report.pdf

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Full Food Service at the Coast Guard Academy
Solicitation number
70Z08426RDL950003
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The document is a DD Form 2772 Contract Discrepancy Report, a standardized form used to document and track contract performance issues and related corrective actions. The form is designed to be completed by government quality assurance evaluators (QAE) and contractors when a discrepancy or problem is identified during contract execution. Key sections include spaces to detail the specific discrepancy (Section 6), the contractor's response and proposed corrective actions (Section 9), government evaluation of the issue (Section 11), and potential government actions such as reduced payment or cure notice (Section 12). The form is prescribed by federal acquisition regulations (5220.22-V2; FAR 4.4) and was updated on 20240829, with signature and date fields for tracking the resolution process across multiple parties including the contractor, QAE, and administrative contracting officer (ACO).

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Prescribed by: 5220.22-V2; FAR 4.4; (Updated 20240829)

PREVIOUS EDITION IS OBSOLETE.

DD FORM 2772, SEP 1998

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

DRAFT

SAMPLE

PREVIOUS EDITION IS OBSOLETE.

DD FORM 2772, SEP 1998

NEEDS DD67

Page of Prescribed by: 5220.22-V2; FAR 4.4;

(Updated 20240829)

DRAFT

INSTRUCTIONS

NEEDS DD67

PREVIOUS EDITION IS OBSOLETE.

DD FORM XXXX, 20YYMMDD DRAFT

Page of

CONTRACT DISCREPANCY REPORT

5. DATES (YYYYMMDD)

13. CLOSE OUT

NAME (1)

TITLE (2)

SIGNATURE (3)

DATE (YYYYMMDD)

(4)

a. CONTRACTOR NOTIFIED

b. QAE

c. ACO 9.0.0.2.20120627.2.874785 DD Form 2772, "CONTRACT DISCREPANCY REPORT"

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CurrentPage:
PageCount:
one:
two:
three:
four:
5. DATES (YYYYMMDD) - a. PREPARED:
5. DATES (YYYYMMDD) - b. RETURNED BY CONTRACTOR:
5. DATES (YYYYMMDD) - c. ACTION COMPLETE:
TextField2:
SignatureField1:
8a. TO (Contracting Officer) - enter recipient information:
8b. FROM (Contractor) - enter sender information:
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.):
SignatureField2:
10b. DATE (YYYYMMDD):
eleven:
twelve:
13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (1) NAME:
13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (2) TITLE:
13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (3) SIGNATURE:
13. CLOSE OUT - a. CONTRACTOR NOTIFIED - (4) DATE (YYYYMMDD):
13. CLOSE OUT - b. QAE - (1) NAME:
13. CLOSE OUT - b. QAE - (2) TITLE:
13. CLOSE OUT - b. QAE - (3) SIGNATURE:
13. CLOSE OUT - b. QAE - (4) DATE (YYYYMMDD):
13. CLOSE OUT - c. ACO - (1) NAME:
13. CLOSE OUT - c. ACO - (2) TITLE:
13. CLOSE OUT - c. ACO - (3) SIGNATURE:
13. CLOSE OUT - c. ACO - (4) DATE (YYYYMMDD):

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