Appendix G.pdf
PDF 242 KB Posted
- Solicitation number
- W912P921Q0006
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Other files
| File | Type | Posted |
|---|---|---|
| Appendix F - QASP.pdf | ||
| Statement of Work.pdf | ||
| Appendix E.pdf | ||
| Appendix B.pdf | ||
| Appendix A.pdf | ||
| Combined Synopsis Solicitation 21Q0006.pdf | ||
| Appendix D.pdf |
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APPENDIX G
CONTRACT DISCREPANCY REPORT
For use of this form, see DA PAM 715-15; the proponent agency is DCSLOG.
1. CONTRACT NUMBER
2. TO: (Contractor and Manager Name)
3. FROM (Name of QAE)
DATES
PREPARED
ORAL NOTIFICATION
RETURNED BY
CONTRACTOR
ACTION COMPLETE
4. DISCREPANCY OR PROBLEM (Describe in Detail; Include reference in PWS/Directive; Attach continuation sheet if necessary)
5. SIGNATURE OF CONTRACTING OFFICER'S REPRESENTATIVE
6. TO: (Contracting Officer's Representative)
7. FROM: (Contractor)
8. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. ATTACH CONTINUATION SHEET IF NECESSARY. (cite applicable Q.A. program procedures or new A.W. procedures.)
9. SIGNATURE OF CONTRACTOR REPRESENTATIVE
10. DATE
11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, rejection; attach continuation sheet if necessary.)
12. GOVERNMENT ACTIONS (Payment deduction, cure notice, show cause, other.)
CLOSE OUT
CONTRACTOR
NOTIFIED
NAME AND TITLE
SIGNATURE
DATE
QAE
CONTRACTING
OFFICER'S
REPRESENTATIVE
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