ATTACHMENT 2 - Contractor Discrepancy Report (CDR).pdf
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- Attached to
- 6515--FY23 Requirement | PSAS Program Office | Pick-Up Walkers & Rollators | Posting of Amendment 0006
- Solicitation number
- 36C10G22R0025
About this file
The attached documents relate to a solicitation by the Department of Veterans Affairs for pickup walkers and rollators. The solicitation seeks pricing for various models of walkers and rollators to be delivered to VA medical centers, with pricing to remain valid through September 2023. Questions from potential offerors were addressed in an attachment, with responses from the government provided. The solicitation includes an excel-based pricing schedule for offerors to submit proposed pricing for the medical equipment.
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Text version
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DD FORM 2772, SEP 1998 REPLACES MT FORM 352-R, WHICH IS OBSOLETE.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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