Appendix K - Contract Discrepancy Report (CDR) Template.pdf

APPENDIX K: CONTRACT DISCREPANCY REPORT

IHS National COVID-19 Critical Care Response Teams IDIQ

1. Contract Number: 2. Report Number for this Discrepancy:

4. From (Name of COR):3. To (Contracting Officer):

5. Dates

5a. CDR Prepared: 5c. Action Complete:5b. Returned by Contractor:

6. Discrepancy or Problem (Describe in detail. Include reference to PWS Directive.):

7. Signature of COR: Date:

8. Signature of Contracting Officer: Date:

9b. From (Contractor):9a. To (Contracting Officer):

10. Contractor response as to cause, corrective action and actions to prevent recurrence. (Cite applicable quality control problem or new procedures.):

11. Signature of Contractor Representative: Date:

12. Government Evaluation (Acceptance, partial acceptance, reflection):

13. Government Actions (Acceptance, partial acceptance, reflection):

14. Close Out

Name Title Signature Date

Contractor Notified

COR

Contracting Officer

15. Frequency of Measurement

a. Frequency of Measurement. The frequency of measurement is defined in the contract or otherwise in this document. The government (COR or CO) will periodically analyze whether the frequency of surveillance is appropriate for the work being performed.

b. Frequency of Performance Reporting. The COR shall communicate with the Contractor and will provide written reports to the Contracting Officer quarterly (or as outlined in the contract or COR delegation) to review Contractor performance.

16. COR and Contract Acknowledgement of QASP

COR Signature:COR Name/Title: Date:

Contractor Signature:Contractor Name/Title: Date: