Att 6 Contractor Discrepancy Report.pdf

PDF 155 KB Posted

Attached to
SERVMART walk-in store
Solicitation number
N0018925R0043
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About this file

The document is a Contractor Discrepancy Report form, a standard template used to document and track contract performance issues, potential non-conformances, or operational discrepancies. The form provides structured sections for capturing detailed information about a specific contract problem, including fields for contract number, task order, facility and contractor details, a description of the discrepancy, and space for formal responses from both the government Contracting Officer's Representative (COR) and the contractor. The form requires signatures and dates from relevant parties and allows for a systematic process of reporting, responding to, and resolving contract performance concerns.

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Text version

CONTRACTOR DISCREPANCY REPORT

CONTRACT NO.:

TASK ORDER NO: N/A

DATE:

TO: (Contractor’s name and address)

FROM: (Facility Name and address, including COR)

DISCREPANCY (INCLUDE REFERENCE):

SIGNATURE OF COR: DATE:

TO: (Facility name and address, including COR)

FROM : (Contractor’s name and address)

CONTRACTOR RESPONSE AS TO CAUSE AND CORRECTIVE ACTION TAKEN:

SIGNATURE OF CONTRACTOR’S REP: DATE:

GOVERNMENT COMMENT ON RESPONSE:

SIGNATURE OF COR: DATE:

SIGNATURE OF CONTRACTING OFFICER: DATE:

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