Attachment 51 -FTC-ADM-67 CDR.pdf
PDF 12 KB Posted
- Attached to
- Student Support RFP Artesia, NM FLETC
- Solicitation number
- 70LART25RPFB00005
About this file
This is a Contract Discrepancy Report (CDR) form template, specifically form FTC-ADM-67 (5/90), used to document and track contract performance issues. The form is associated with a Federal Law Enforcement Training Center (FLETC) Student Support Services solicitation in Artesia, NM.
The form contains sections for documenting contract discrepancies, including spaces for the contract number, report number, contractor information, and COTR details. Key components include areas for describing the problem (with reference to SOW/Directive), contractor response and corrective actions, government evaluation, and potential government actions such as payment deductions or cure notices. The form requires signatures from the Contracting Officer, contractor, and COTR, with copies distributed to the contractor, COTR, and procurement office. This is a standard template without any specific discrepancy information filled in.
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Text version
FTC-ADM-67 (5/90)
CONTRACT DISCREPANCY REPORT
1. CONTRACT NUMBER 2. REPORT NUMBER FOR THIS DISCREPANCY
3. To: (Contractor and Managers Name) 4. From: (Name of COTR)
5 DATES
PREPARED CONTRACTOR NOTIFIED RETURNED BY CONTRACTOR ACTION COMPLETED
6. DISCREPANCY OR PROBLEM: (Describe in Detail: include reference to SOW/Directive:attach continuation sheet if necessary.)
7. SIGNATURE OF CONTRACTING OFFICER DATE
TO: (Contracting Officer) FROM: (Contractor)
9. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE: ATTACH CONTINUATION SHEET IF NECESSARY. (Cite applicable Q.C.program procedures or new Q.C. program procedures.)
10. SIGNATURE DATE
11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, rejection, attach continuation sheet if necessary.)
12. GOVERNMENT ACTIONS (Payment deduction, cure notice, show cause, other)
13 CLOSE OUT
NAME - TITLE SIGNATURE DATE
CONTRACTOR
NOTIFIED
COTR
CONTRACTING
OFFICER
ORIGINAL - CONTRACTOR COPY - COTR COPY - PROCUREMENT
Page 1 of 1)
Sheet1
File details come from the government source that posted it. Updated .