Attachment 3 - Contract Discrepancy Report.pdf

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NAVIFOR N4 Directorate Program’s Support Services
Solicitation number
N0018925R0019
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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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Attachment 4 - WD 2015-4341 Rev. 30 4.25.25.pdf PDF
N0018925R0019 Amendment 0002.pdf PDF
Attachment 1 - Pricing Spreadsheet_Revised.xlsx XLSX spreadsheet
N0018925R0019 Amendment 0001.pdf PDF
Attachment 8 - Questions and Answers.pdf PDF
Attachment 2 - Draft DD254.pdf PDF
Attachment 5 - WD 2015-5689 Rev. 24 12.23.24.pdf PDF
Attachment 4 - WD 2015-4341 Rev. 29 12.23.24.pdf PDF
Attachment 7 - Past Performance Report Form.docx DOCX document
Attachment 6 - Past Performance Information Form.docx DOCX document
Attachment 1 - Pricing Spreadsheet.xlsx XLSX spreadsheet
N0018925R0019.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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