Att 2 Surveilance Activity Checklist (SAC).pdf

FRCMA DET PAX SAC

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Surveillance Activity Checklist (SAC)

For Level II and III Aircraft Maintenance Services at Fleet Readiness Center Mid-Atlantic Detachment Patuxent River, MD (FRCMA DET

PAX)

1. Purpose

This Surveillance Activity Checklist (SAC) is a Government developed and applied document used to establish the procedures and guidelines to be used in monitoring and evaluating the

Contractor’s performance. The objective of the SAC is to ensure adequate quality controls and appropriate surveillance methods are in place to ensure that performance is in accordance with the requirements of the Statement of Work (SOW) and the Government receives the quality of services under the contract. This SAC describes how the Government will observe, evaluate and document the Contractor’s performance in meeting the critical requirements identified in the contract. Because services to be procured are not performance based, a SAC will be used by the

Contracting Officer’s Representative (COR) to monitor the Contractor’s performance.

Fleet Readiness Center Mid-Atlantic Patuxent River, MD (FRCMA DET PAX) is responsible for providing Level II and III aircraft maintenance services. FRCMA DET PAX fulfills these functions primarily to squadrons/activities assigned to Naval Test Wing Atlantic and Naval Air

Station Patuxent River and other activities (e.g., Foreign Military, other DoD branches, etc.) as required. FRCMA DET PAX requires Contractor support to fully satisfy its Level II and III aircraft maintenance services responsibilities. The supporting Contractor will be required to possess organizational level knowledge and expertise to seamlessly integrate qualified personnel into the organic FRCMA DET PAX environment, which is a fully functioning test, restoration, rebuild, maintenance, and repair organization. In this role, the Contractor will augment the organic workforce so as to collectively accomplish all FRCMA DET PAX Level II and III aircraft maintenance services requirements. The COR, along with an assigned Government

Quality Assurance Representative (GQAR) will monitor Contractor performance in accordance with the SAC developed for this contract.

2. Authority

Authority for issuance of this SAC is provided under Section E – Inspection and Acceptance, which provides for inspections and acceptance of the services and documentation called for in the contract, to be executed by the Contracting Officer or a duly authorized representative.

3. Scope

To fully understand the roles and responsibilities of the parties, it is important to first define the distinction in terminology between Contractor’s Quality Assurance Plan (QAP) and the

Surveillance Activity Checklist (SAC). The Contractor is responsible for management and quality control actions necessary to meet the quality standards set forth by the contract. The

Contractor shall develop and submit for Government approval a contract compliant QAP. Once accepted, the Contractor shall use the QAP to guide and to document the implementation of the required management and quality control actions to achieve the specified results.

The SAC is established to provide Government surveillance and oversight of the Contractor’s quality control efforts to ensure that they are timely, effective and are delivering the results specified in the contract.

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4. Government Resources and Responsibilities

The following describes the roles and responsibilities for Government resources that are applicable to this plan:

Contracting Officer (CO)/Procurement Contracting Officer (PCO) - A person duly appointed with the authority to enter into, administer, or terminate contracts and make related determination and findings on behalf of the Government.

The PCO will monitor performance of all necessary actions for effective contracting, ensures compliance with the terms and conditions of the contract and will safeguard the interests of the

United States in the contractual relationship. It is the PCO that ensures the Contractor receives impartial, fair and equitable treatment under the contract. The Contracting Officer is ultimately responsible for the final determination of the adequacy of the Contractor’s performance.

Responsible for Contractor compliance with all requirements of the contract, contract administration (unless otherwise delegated), cost and property control.

Responsible for administrative actions arising from unresolved differences between the

COR and the Contractor.

Responsible for decisions that produce an increase or decrease in the scope of the contract or contract payment.

Responsible for evaluating the performance of the COR in monitoring SOW execution.

Contracting Officer’s Representative (COR) – An individual will be appointed as the COR and will be the Contracting Officer’s representative, authorized to assist in administering the contract.

The COR and Alternate COR (ACOR), if an ACOR is appointed, will be designated in the resulting contract. The limitations of authority are contained in a written letter of designation.

Any changes that the Contractor deems may affect contract price, terms or conditions shall be referred to the Contracting Officer for action. The COR is not empowered to make any contractual commitments or to authorize any changes on the Government’s behalf. The PCO will ensure the appointed COR has received the proper training in accordance with the March

2010 Under Secretary of Defense AT&L policy memo for the DoD standard COR training requirement. The COR has the following responsibilities:

Verifying that the Contractor performs the technical requirements of the contract in accordance with the contract terms and conditions and SOW.

Reviewing, commenting, and reporting on the Contractor’s progress and ensuring the

Contractor complies with reporting requirements.

Notifying the Contractor of discrepancies observed during surveillance and notifying the

Contracting Officer concerning performance of services provided by the Contractor.

Maintaining contract records (including all Contract Data Requirements List (CDRL) submissions).

Maintaining an effective line of communication with the Contractor.

Ensuring that all necessary inspections are performed.

Coordinating site entry for Contractor personnel (if required) and ensuring that the

Government Furnished Information (GFI) and Government Furnished Equipment (GFE) provided for in the SOW is available when required.

Ensuring the contract does not become a vehicle for personal services.

Reviews and accepts invoices for services on a monthly basis.

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In addition to the above guidance, the following restrictions apply to the COR:

The COR cannot award or sign any contract or contract modification.

The COR cannot obligate payment of monies.

The COR cannot change schedules, funds, or scope of the contract.

The COR cannot make any contractual agreements, commitments, or modifications involving price, quantity, quality or delivery schedule.

The COR is responsible for technical administration of the contract and ensures proper

Government surveillance of the Contractor’s performance via the following measurement methods:

a. Contractor Performance Assessment Reporting System (CPARS) The COR assess the Contractor in the CPARS. For CPARS, the COR assesses the general quality, schedule, cost control, management, utilization of small business, regulatory compliance, and other areas.

b. Government Monitoring and Evaluations (Refer to Statement of Work Part 5). The

COR will monitor the quality of CMSS performed by the Contractor through use of the following: completed CDRL A012, Contractor Maintenance Support Services

(CMSS) Measurement and Manning Summary, daily reports, observation, and 100% sampling of services (MAFs). Measurement of contract performance will be through the use of a Maintenance Support Factor (MSF) and two quality assurance factors:

1). The Non-Safety of Flight Critical Quality Assurance Factor (NFQAF) and 2). The

Safety of Flight Critical Quality Assurance Factor (FQAF).

MAINTENANCE SUPPORT FACTOR (MSF). Contractor Maintenance Support performance will be measured in terms of Contractor Maintenance Support Hours

Scheduled (MSHS) and Contractor Maintenance Support Hours Completed (MSHC).

The MSF is a measurement for the entire Contractor maintenance workforce.

The Contractor is required to maintain a MSF of >98% for each applicable line item

(Labor Title/Category). The MSF is measured monthly beginning at service start date and ending the final day of services under this contract. The MSF shall not fall below the 100% value for any month. As a percentage, MSF is defined as:

MSHS are the actual MSH agreed upon by the Government for the Contractor to perform (within the specifications specified in Part Four of the SOW and as specified by the applicable Monthly

Maintenance Plan). This includes any COR approved Premium Time Hours. MSHF are the actual MSHS that were NOT completed due to Contractor fault/non-service (i.e., failure of

Contractor to provide a qualified/certified employee when scheduled). MSHF does include any

MSHS hours lost that were not the fault of the Contractor (e.g., Government cancelled inclement weather days, Command cancellations, SMSH cancelled by the Government without proper lead time notice).

MSF Criteria. When the MSF for an individual month is less than 98%, for the total of all

Contractor personnel, performance will be considered unsatisfactory to the USG.

MSHS - MSHF

MSF (%) = _________________ X 100%

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MSHC

MSF = Maintenance Support Factor

MSHS = Maintenance Support Hours Scheduled

MSHF = Maintenance Support Hours Failure

MSHC = Maintenance Support Hours Completed

MSH = Maintenance Support Hours

Quality Assurance (Safety of Flight and Non-Safety of Flight Quality Assurance Factor

(FQAF/NFQAF). Reported via CDRL A012, Contractor Maintenance Support Services

(CMSS) Measurement and Manning Summary.

o Safety of Flight Critical Quality Assurance (QA). Contractor quality control for flight critical maintenance end-item repairs and actions will be measured in terms of the number of flight critical maintenance actions completed (FCN), number of flight critical maintenance actions deemed un-repairable (FCU), and the number of flight critical maintenance actions returned (Y Code) that were found to be defective (FCD).

FCN - FCU - FCD

FQAF (%) = ------------------------------ X 100%

FCN - FCU

FQAF = Flight Critical Quality Assurance Factor

FCN = Flight Critical maintenance actions/items completed (MAF’ed action by Contractor)

FCU = Flight Critical maintenance actions/items (MAF’ed action by Contractor) deemed un-repairable (Beyond Capability of Maintenance (BCM))

FCD = Flight Critical maintenance actions/items (originally MAF’ed by Contractor) returned and found to be defective (Validated Y Code Items) o Non-Safety of Flight Critical Quality Assurance (QA). Contractor quality control for flight critical maintenance end-item repairs and actions will be measured in terms of the number of non-safety of flight critical maintenance actions completed (NFCN), number of non-safety of flight critical maintenance actions deemed un-repairable (FCU), and the number of non-safety of flight critical maintenance actions returned (Y Code) that were found to be defective

(FCD).

NFCN - NFCU - NFCD

NFQAF (%) = ---------------------------------- X 100%

FNCN - NFCU

NFQAF = Non-Flight Critical Quality Assurance Factor

NFCN = Non-Flight Critical maintenance actions (MAF’ed action by Contractor) deemed completed

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NFCU = Non-Flight Critical maintenance actions (MAF’ed action by Contractor) deemed un-repairable (Beyond Capability of Maintenance (BCM))

NFCD = Non-Flight Critical maintenance actions (originally MAF’ed by Contractor) returned and found to be defective (Validated Y Code Items))

Acceptable Quality Assurance Factor Criteria: The Contractor shall maintain a monthly FQAF of

98% or above and a monthly NFQAF of 95% or greater for each work center to be considered acceptable to the USG.

Unacceptable Contractor Service. In the event the Contractor’s MSF, NFQAF and/or FQAF fall below acceptable levels, the Contractor Site Manager shall submit a plan, within five (5) working days, to the COR describing what actions with timeline the Contractor shall implement to bring

Contractor services/quality back to acceptable levels.

OTHER GOVERNMENT RESOURCES

Government Quality Assurance Representative (GQAR) – A Government Service person who has completed all normal Naval Aviation Maintenance Program (NAMP) Quality Assurance

Representative (QAR) requirements and has been designated in writing as GQAR by the

Maintenance Officer (MO). This individual exercises surveillance on the work accomplishments of Contractor QAR's to ensure all tasks are completed in accordance with applicable directives.

Also known as GIO (Government Inspection Office).

Ground Government Flight Representative (GGFR) – A Government Service person who is responsible for surveillance of Contractor ground operations under GFRC/AFRC as described in NAVAIR 3710.1 series. GGFRs may approve ground operation procedures only.

Technical Assistants (TAs) to the COR – An individual identified by the COR to assist the

COR/ACOR with observations and monitoring of Contractor performance. Although the TA does not have direct contractual authority, they do serve as legitimate government subject matter experts whose insight may be used by the COR.

5. Methods of QA Surveillance

The following methods will be utilized by the PCO and/or COR in surveilling the Contractor’s quality control efforts and performance:

a. Contractor Performance Assessment Report System (CPARS) – As required by Federal

Acquisition Regulations 42.1502, at a minimum, the Government will address the following in

CPARS: Quality, Schedule, Cost Control, Management, Utilization of Small Business, and

Regulatory compliance through detailed comments and evaluations. As this information may affect future source selections throughout the Department of Defense (DoD) and the continuation of the contract, the annual (may be more frequent if performance dictates closer surveillance)

Government assessment will be used appropriately as a complementary performance oversight and communication tool with the SAC. CPARS will be completed minimally once every 12 months; however, greater periodicity may be elected by the Government due to exceptional performance or unacceptable or declining performance trends.

b. SAC - The SAC and the Statement of Work define the surveillance process, responsibilities and acceptable quality standards that will apply to performance based contractual efforts (See

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Enclosure 1). These documents also establish the basic scoring and reporting methodology for surveillance documentation. The below listed methods of surveillance will be used by the COR in the technical administration of this SAC:

Daily, monthly, and impromptu visual and/or administrative inspection and observation of Contractor performance.

Review and verification of reports and documentation:

o NALCOMIS and other Navy aviation reporting systems and reports

Monthly Maintenance Support Factor (MSF), Flight Critical Quality Assurance Factor

(FQAF) and Non-Flight Critical Quality Assurance Factor (NFQAF).

Reported customer complaints that have been validated by the COR through documented investigation

Surveillance is innate in the CNAF 4790.2 system. Degree of surveillance may be increased or reduced on Government election dependent on Contractor performance trends.

6. Documentation

The COR will maintain a complete Quality Assurance Surveillance file. The file will contain such documents as copies of all reports, CDRLs, evaluations, recommendations, correspondence with the Contractor (letters, memos, documentation of incidences of good or poor performance), and any actions related to the Government’s performance relating to a quality assurance function.

All such records will be maintained for the life of the contract. If requested by the Contracting

Officer, the COR shall forward these records to the Contracting Officer at termination or close out of the contract. The COR will maintain documentation of observed Contractor performance in all CPARS areas. Additionally, the COR will use CDRL reports, COR reports, and reports required under CNAF Instruction 4790.2 and other related requiring documents in the Statement of Work. The COR will document his/her CPARS observations on a quarterly basis for each

CPARS Area (see Enclosure 2 – CPARS Evaluation Areas). The culmination of these quarterly evaluations, CDRLs and other required performance factors (SOW Part 5) will result in the required annual CPARS reports. Annual CPARS (and/or Government elected shorter CPARS periods) evaluations may be used by the Government as rationale/justification to not exercise future options in a contract. CPARS inputs can be used by the Contracting Officer for the evaluation of past performance of the Contractor for other procurements

All COR observations shall be documented fully and written in a professional manner in order to be introduced in court as a valid, legally binding document. All COR documentation shall be dated and signed and maintained in the COR files. The COR’s file shall contain at a minimum, the following:

Copies of letters of appointment for the COR

A copy of the contract and all modifications

A copy of the SAC and all subsequent revisions

The names and titles of individuals on the contract administration team

A record of all accepted reports, evaluations, reviews and verification of required documentation

Memoranda for record or minutes of any pre-performance meetings or conferences

Memoranda for record or minutes of any meetings and discussions with the Contractor, or others, pertaining to the contract or contract performance or changes to the SOW

Files required by the PCO (COR File Checklist)

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If a Contractor refuses to sign a written report, the COR will note this on the bottom of the report by: “Presented to the Contractor Site Manager, and Contractor refused to sign”. The COR will initial, date and sign, and present a copy to the Contractor.

In the event the COR disagrees with a presented CDRL, he/she will sign and date the document and make notes in the remarks area where he/she disagrees.

7. Remedies for Poor Performance

a. Remedies to address Contractor poor performance include: instituting re-inspection; ensure the retraining or recertification of offending Contractor personnel depending on the severity of the situation; requiring correction of maintenance deficiencies; reflecting status in the

CPARS; and reconsidering the exercise of the option periods beyond the basic period. In some cases where the work is performed as a comingled effort by Government and

Contractor personnel, the Government may be unable to determine responsibility for work deficiencies. Consequently, the required methods, processes or Government furnished materials will be analyzed to determine the cause of the work deficiency and recommend corrective action.

Unacceptable Contractor performance or negative performance trends shall be addressed as follows:

Email and written correspondence to Site Manager

COR Meeting with Site Manager

COR request for Contractor corrective action plan for unacceptable performance

(refer to Statement of Work paragraph 5.4) or a quality assurance plan review.

Increased COR and system surveillance

Monthly Performance Report comment/remarks

Quality Deficiency Record (QDR) Enclosure 2)

PCO /Contractor Meetings

CPARS inputs noting unacceptable performance; Increased periodicity of CPARS

(Inputs from NAWCTSD PJM /COR/ Contract Specialist)

COR request for Contract Discrepancy Report (CDR) (Enclosure 3).

Show Cause Letter

Government election to terminate the contract or not exercise contract options

b. The Quality Deficiency Record (QDR) (Enclosure 3) is a written record designed to identify documented cases of poor Contractor performance when other forms of

Government to Contractor communications to gain correction have failed to resolve the problem. The QDR is sent to the Contractor Site Manager. The Contractor Site Manager shall respond in kind per the QDR. The QDR is usually reserved for situations where the problem directly impacts performance and /or is chronic.

c. Contract Discrepancy Reports (CDRs) (Enclosure 4) are written to identify documented cases of poor Contractor performance. They are initiated by the COR and forwarded to the Procurement Contracting Officer (PCO) who, in turn, will evaluate and may forward to the Contractor. Upon receipt of the CDR, the Contractor shall identify, in writing, how future occurrences of the problem will be prevented and how the present problem will be resolved. Based on the Contractor’s response, the Government may or may not take

8 Attachment 2 further actions. A CDR is usually initiated after less severe actions (see above) have failed to remedy a performance problem.

8. Quality Assurance Systems:

Contractor shall have Quality Control Systems established to ensure satisfactory performance under this contract. The FRCMA DET PAX SOW (CDRL) requires that a Contractor Quality

Assurance Plan (maintenance services) be updated as required.

9. Enclosures

ENCLOSURE 1 – MAINTENANCE PERFORMANCE STANDARDS

ENCLOSURE 2 – CPARS EVALUATION AREAS

ENCLOSURE 3 – QUALITY DEFICIENCY RECORD (SAMPLE)

ENCLOSURE 4 – CONTRACT DESCREPANCY REPORT

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ENCLOSURE 1 – Maintenance Performance Standards:

At a minimum, the COR will perform a quarterly assessment of Contractor Performance as applicable, utilizing the CPARS evaluation rating definitions listed in Enclosure (2).

Description Surveillance

Method/Measure

Date

Planned

Date

Complete

Quality of

Product/

Service

Schedule Cost Control Business

Relations

Mgmt of Key

Pers.

Other

Areas

Maintenance Support

Factor (MSF) – Qualified and certified personnel provided per SOW. 100% maintained with a 2 % variance allowed (98% or higher acceptable)

100% review and inspection by COR

Weekly and Monthly

Flight Critical Quality

Assurance Factor (FQAF)- 100% maintained (refer SOW Part 5); 2 % variance allowed (98% or higher acceptable)

100% review and inspection by COR

Non-Flight Critical

Quality Assurance Factor

(NFQAF)- 100%

maintained,5% variance allowed (95% or higher acceptable)

100% review and inspection by COR

Reports and CDRL Submissions

100% review or random and inspection by COR

As Required

Compliance to CNAF

Instr 4790.2 and

Statement of Work

Requirements (QA Plan, Safety Plan)

100% review or random and inspection by COR

As Required

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ENCLOSURE 2 – CPARS EVALUATION AREAS

DEFINITIONS FOR EVALUATION AREAS/RATINGS

All SOW/CDRLs requirements will be assessed focusing on the following.

Quality of Product or Service – Assess the Contractor’s effort to provide maintenance services.

Assess the Contractor's conformance to contract requirements, specifications and standards of good workmanship (e.g., commonly accepted technical, professional, environmental, or safety and health standards). Assess how successfully the Contractor meets program quality. Assess how successfully the Contractor meets program quality objectives such as producibility, reliability, maintainability and inspectability. The assessing official must be flexible in how

Contractor success is measured; e.g. using data from field reliability and maintainability and failure reports, user comments and acceptance rates, and scrap and rework rates. These quantitative indicators may be useful later, for example, in source selection evaluations, in demonstrating continuous improvement, quality and reliability leadership that reflects progress in total quality management. Assess the Contractor's control of the overall production process to include material control, shop planning and control, and statusing.

Schedule – This assessment of the Contractor's adherence to the required delivery schedule should include the Contractor's efforts during the assessment period that contributes to or effects the schedule variance. This element applies to contract closeout activities as well as contract performance. Instances of adverse actions such as the assessment of liquidated damages, or issuance of Cure Notices, Show Cause Notices, and Delinquency Notices are indicators of problems which may have resulted in variance to the contract schedule and should therefore be noted in the evaluation. Any Quality Deficiency Record (QDR), Contract Discrepancy Reports

(CDR) and/or any documented positive or negative trends should be noted.

Cost Control – Not applicable for Firm Fixed Price contracts.

Management – Assess the Contractor’s success with timely award and management of subcontracts, including whether the Contractor met small/small disadvantage and women-owned business participation goals. Discuss the extent to which the Contractor discharges its responsibility for integration and coordination of all activity needed to execute the contract;

identifies and applies resources required to meet schedule requirements; assigns responsibility for tasks/actions required by contract; communicates appropriate information to affected program elements in a timely manner. Assess the Contractor’s risk mitigation plans. If applicable, identify any other management areas that are unique to the contract.

Other areas – Assess additional evaluation areas unique to the contract or that cannot be captured elsewhere.

The evaluation ratings are as follows:

Exceptional – Performance meets contractual requirements and exceeds many to the

Government’s benefit. The contractual performance of the task and sub-task being assessed was accomplished with few minor problems for which corrective actions taken by the Contractor were highly effective.

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Very Good - Performance meets contractual requirements and exceeds some to the Government’s benefit. The contractual performance of the task and sub-task being assessed was accomplished with some minor problems for which corrective actions taken by the Contractor were effective.

Satisfactory - Performance meets contractual requirements. The contractual performance of the task and sub-task contain some minor problems for which corrective actions taken by the

Contractor appear or were satisfactory.

Marginal - Performance does not meet some contractual requirements. The contractual performance of the task and sub-task being assessed reflect a serious problem for which the

Contractor has not yet identified corrective actions. The Contractor’s proposed actions appear only marginally effective or were not fully implemented.

Unsatisfactory – Performance does not meet most contractual requirements and recovery is not likely in a timely manner. The contractual performance of the task or sub-task contains a serious problem(s) for which the Contractor’s actions appear or were ineffective.

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ENCLOSURE 3 – QUALITY DEFICIENCY RECORD (SAMPLE)

QUALITY DEFICIENCY RECORD

1. DATE (YYMMDD)

990408

2. REFERENCE NUMBER

4-10

TO (Contractor):

ABC INC

FROM (Quality Assurance Representative:

COR

3. The following discrepancy(ies) require corrective action as to the correction of defect(s) and the correction of the cause(s), include a description of the:

A. Root cause of the deficiency. E. Action taken to correct the weakness which

B. Action taken to correct the specific deficiency. allowed deficient product to be presented to

C. Action taken to correct and prevent recurrence the Government for acceptance.

of root cause of deficiency. F. Target dates for implementation of identified

D. Action taken to determine if other product is corrective action.

affected by the same of similar deficiency and action taken regarding susceptible product.

Q.A. Plan # 3 - Open Maintenance Action for Device XYZ.

“O” level MAF # AC3098030 remains in work status for longer than 24 hours. Device display still not fully operational.

3A. This discrepancy will affect production schedules ( if “YES” is checked, send copy to production element)

• YES NO

4. It is requested that a reply as to corrective action taken be submitted within days of the above date. In the event corrective action cannot be finalized by that date, request date same will be concluded. The reverse side of this form may be used for your reply. Please refer to the above reference number if separate communication is used.

Signature of Requestor

FORM EDITION OF 1 JUL 76 MAY BE USED UNTIL EXHAUSTED

DD 1715 S/N 01202-LF-021-9501 Exhibit E-1

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5. CONTRACTOR’S REPLY (QAR will attach separate reply to file copy of this form) (YYMMDD)

5A. TYPED OR PRINTED NAME OF CONTRACTOR

REPRESENTATIVE (Last, First, MI)

5B. SIGNATURE 5C. DATE

(YYMMDD)

6. STATEMENT OF VERIFICATION AND EVALUATION OF CONTRACTOR’S ACTION (to be completed by Quality

Assurance Representative):

6A. TYPED OR PRINTED NAME OF Q.A.R. (Last, First, MI)

6B. SIGNATURE 6C. DATE

(YYMMDD)

7. STATEMENT OF FOLLOW-UP ACTION, WHEN NECESSARY

Reverse of DD FORM 1715

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ENCLOSURE 4 – CONTRACT DISCREPANCY REPORT

CONTRACT DISCREPANCY REPORT

1. CONTRACT NUMBER

2. TO: (Contractor and Manager’s Name) 3. FROM: (Name of Contracting Officer)

DATES

PREPARED ORAL

NOTIFICATION

RETURNED BY

CONTRACTOR

ACTION COMPLETE

4. DISCREPANCY OR PROBLEM (describe in detail; include reference to SOW/directive; attach continuation sheet if necessary)

5. SIGNATURE OF CONTRACTING OFFICER DATE:

6. TO: (Contracting Officer) FROM: (Contractor)

7. 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 Q.A. procedures.)

8. SIGNATURE OF CONTRACTOR REPRESENTATIVE DATE:

9. GOVERNMENT EVALUATION (acceptance, partial acceptance, rejection; attach continuation sheet if necessary)

10. GOVERNMENT ACTIONS (Payment deduction, cure notice, show cause, other)

CLOSEOUT

TITLE NAME SIGNATURE DATE

COR

PCO