Attachment 5 - Contract Deficiency Report.pdf

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Attached to
Q301--646-25-2-124-0020 | Cytotechnologist Services | NCO 4 Services 1
Solicitation number
36C24425Q0606
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About this file

The document is a Contract Deficiency Report template used to document and track contract performance issues between a government agency and a contractor. The form provides structured sections for reporting contract discrepancies, including fields for contract number, dates, issue identification, contractor response, government evaluation, and close-out information. Key sections include spaces for the Contracting Officer's Representative (COR) to describe the identified issue, the contractor to explain the cause and preventive actions, and government personnel to document their evaluation and final actions. The template is designed to formalize the process of identifying, addressing, and resolving contract performance problems with comprehensive documentation and accountability.

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CONTRACT DEFICIENCY REPORT

1. CONTRACT NUMBER 2. REPORT NUMBER FOR THIS DISCREPANCY

3. TO: (Contracting Officer) 4. FROM: (Name of COR)

5. DATES

a. CR PREPARED

b. RETURNED BY CONTRACTOR: c. ACTION COMPLETE

6. Issue Identified (Describe in detail. Include reference to PWS Directive; attach continuation sheet if necessary.)

7. SIGNATURE OF COR Date:

8. SIGNATURE OF CONTRACTING OFFICER Date:

9a. TO (Contracting Officer) 9a. FROM (Contractor)

10. CONTRACTOR RESPONSE AS TO CAUSE AND ACTIONS TO PREVENT RECURRENCE. (Cite applicable quality control program procedures or new procedures. Attach continuation sheet(s) if necessary.)

11. SIGNATURE OF CONTRACTOR REPRESENTATIVE Date:

12. GOVERNMENT EVALUATION.

13. GOVERNMENT ACTIONS

14. CLOSE OUT

NAME TITLE SIGNATURE DATE

CONTRACTOR

NOTIFIED

COR

CONTRACTING

OFFICER

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