Attachment 15 - Contract Discrepancy Report - template.pdf

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Attached to
ICE Medical Staffing Industry Day
Solicitation number
ICE-DCR-2021-02
Issued by

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This notice announces an upcoming virtual industry day for a draft request for proposal for medical staffing services from the Immigration and Customs Enforcement Health Service Corps. The industry day will provide an overview of IHSC's medical staffing requirements and acquisition strategy, and allow industry to ask questions about the forthcoming RFP. It will be held on July 28, 2021 from 9:30am to 1:00pm Eastern Time via Microsoft Teams, with registration required by July 27. Each vendor is limited to three attendees to avoid overwhelming the system. Attendees should review the draft RFP in advance as presentations will relate directly to its sections. Questions may be submitted in advance by July 23 or after the industry day by August 8 using the provided template. The government aims to address all questions during the pre-RFP period through this industry day engagement and subsequent responses.

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Other files

File Type Posted
Pre Conference - Questions.pdf PDF
Post Conference - Questions.pdf PDF
Industry Day Presentation.pdf PDF
IHSC 101 - Industry Day.pdf PDF
Industry Day Attendee List.pdf PDF
Attachment 12 - Facility Orientation Checklist - template.pdf PDF
Vendor Questions Template.xlsx XLSX spreadsheet
Attachment 08 - Competency Assessment by Position Description.xlsx XLSX spreadsheet
Attachment 10 - e-Timesheet - template.xlsx XLSX spreadsheet
RFP ONLY - Attachment 03 - Shift Requirement Document - SAMPLE.xlsx XLSX spreadsheet
RFP ONLY - Attachment 02 - HSA-Clinical Lead-NM-CSM Function Guide.pdf PDF
Attachment 13 - IHSC CP and PA Agreement - template.pdf PDF
RFP ONLY - Attachment 05 - Deductions Calculator v1 - template.xlsx XLSX spreadsheet
RFP ONLY - Attachment 01 - Site Staffing Plan - IDIQ.xlsx XLSX spreadsheet
Attachment 02 - QASP.pdf PDF
Attachment 09 - DOL Wage Determinations.xlsx XLSX spreadsheet
Attachment 07 - Schedule Submission Calendar.xlsx XLSX spreadsheet
Attachment 03 - Pricing Schedule.xlsx XLSX spreadsheet
Attachment 05 - IHSC Locations - IDIQ.xlsx XLSX spreadsheet
Attachment 06 - IHSC Credentialing and Privileging Directive.pdf PDF
RFP ONLY - Attachment 04 - Corporate Experience Questionaire.docx DOCX document
Attachment 04 - Position Descriptions.pdf PDF
Attachment 01 - Performance Work Statement.pdf PDF
Attachment 11 - Sites Status Report.xlsx XLSX spreadsheet
Section B-M.pdf PDF
Attachment 14 - Contractor Employee Separation Clearance Checklist - template.pdf PDF
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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

DD FORM 2772, SEP 1998 REPLACES MT FORM 352-R, WHICH IS OBSOLETE. Adobe Professional 8.0

ctr_no:
rpt_no:
to:
from:
prep_date:
ret_date:
comp_date:
discrep:
to_ctr:
from_ctr:
ctr_resp:
rep_date:
govt_eval:
govt_act:
notif_name:
notif_title:
notif_date:
qae_name:
qae_title:
qae_date:
aco_name:
aco_title:
aco_date:
Reset:

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