Attachment 3 - Contract Discrepancy Report.pdf

PDF 61 KB Posted

Attached to
NAVIFOR N4 Directorate Program’s Support Services Federal contract opportunity
Solicitation number
N0018925R0019
Issued by
Department of the Navy Naval Supply Systems Command

About this file

The document is a DD Form 2772 Contract Discrepancy Report, a standard federal form used to document and track contract performance issues, deviations, or problems. The form is designed to capture detailed information about a contract discrepancy, including the specific problem, the contractor's response and proposed corrective actions, and the government's evaluation and potential actions. Key sections include spaces for describing the discrepancy (referencing the Performance Work Statement), the contractor's explanation of causes and prevention, government evaluation, and potential actions such as reduced payment or a cure notice. The form provides a structured mechanism for addressing and resolving contract performance concerns, with designated areas for signatures from both the contractor and government representatives to document the resolution process.

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Other files for this federal contract opportunity

Other files attached to NAVIFOR N4 Directorate Program’s Support Services, newest first.
File Type Posted
N0018925R0019 Amendment 0002.pdf PDF
Attachment 4 - WD 2015-4341 Rev. 30 4.25.25.pdf PDF
N0018925R0019 Amendment 0001.pdf PDF
Attachment 1 - Pricing Spreadsheet_Revised.xlsx XLSX spreadsheet
Attachment 8 - Questions and Answers.pdf PDF
Attachment 2 - Draft DD254.pdf PDF
Attachment 4 - WD 2015-4341 Rev. 29 12.23.24.pdf PDF
Attachment 7 - Past Performance Report Form.docx DOCX document
Attachment 5 - WD 2015-5689 Rev. 24 12.23.24.pdf PDF
N0018925R0019.pdf PDF
Attachment 1 - Pricing Spreadsheet.xlsx XLSX spreadsheet
Attachment 6 - Past Performance Information Form.docx DOCX document
Show all 12

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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:

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