Attachment 4 - Contract Discrepancy Report.pdf

61 KB Posted

Attached to
6515--Clitoral Therapy Device (CTD) (VA-24-00037945)
Solicitation number
36C10G26Q0004
Issued by

About this file

Written by GovTribe AI ·

The document is a DD Form 2772 Contract Discrepancy Report from September 1998, which is a standard form used to document and track contract performance issues. The form provides a structured template for reporting contractual problems, including sections for describing the specific discrepancy, contractor response, government evaluation, and potential actions. Key sections include spaces for contract number, dates, detailed problem description, contractor's explanation of cause and corrective actions, government evaluation, and close-out documentation. The form is designed to formally document quality control issues, facilitate communication between the government and contractor, and establish a clear process for addressing and resolving contract performance deficiencies.

View the file

Other files

File Type Posted
36C10G26Q0004_2.docx DOCX document
Attachment CTD Q and A.xlsx XLSX spreadsheet
36C10G26Q0004 0001.docx DOCX document
Attachment 7 - Sample Letter of Supply.docx DOCX document
Attachment 6 - Past Performance Questionnaire -CTD.docx DOCX document
Attachment 8 - Authorized Gov Distributor Letter.docx DOCX document
Attachment 3 - Quarterly Reporting Tool.xlsx XLSX spreadsheet
Attachment 1 - Schedule of Supplies.xlsx XLSX spreadsheet
36C10G26Q0004.docx DOCX document
Attachment 5 - CTD Questions - Clitoral Therapy Device.xlsx XLSX spreadsheet
Attachment 2 - Pay.gov Vendor Submittal Instructions.docx DOCX document
Show all 11

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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 .