Attachment 9 - Contract Discrepancy Report (CDR).pdf

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Attached to
Snow Removal and Ice Control Services
Solicitation number
W911WN21Q2627
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File Type Posted
Attachment 4 - Wage Determination.pdf PDF
Attachment 2 - Performance Work Statement.pdf PDF
Attachment 6 - Sample Quality Control Plan.doc DOC document
Attachment 5 - Maps.pdf PDF
Attachment 1 - Price Schedule.xlsx XLSX spreadsheet
Attachment 7 - Accident Prevention Plan.docx DOCX document
Attachment 8 - Activity Hazard Analysis.xls XLS spreadsheet
Attachment 3 - Provisions and Clauses.docx DOCX document

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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DD FORM 2772, SEP 1998 (EG) REPLACES MT FORM 352-R, WHICH IS OBSOLETE. Designed using Perform Pro, WHS/DIOR, Sep 98

1_CONTRACT_NUMBER:
2_REPORT_NUMBER_FOR_THIS:
3_TO_Contractor_and_Manag:
4_FROM_Name_of_QAE:
a_PREPARED:
b_RETURNED_BY_CONTRACTOR:
c_ACTION_COMPLETE:
6_DISCREPANCY_OR_PROBLEM:
7_SIGNATURE_OF_CONTRACTIN:
8a_TO_Contracting_Officer:
b_FROM_Contractor:
9_CONTRACTOR_RESPONSE_AS:
10_SIGNATURE_OF_CONTRACTO:
b_DATE_YYYYMMDD:
11_GOVERNMENT_EVALUATION:
12_GOVERNMENT_ACTIONS_Red:
NAME_1:
TITLE_2:
SIGNATURE_3:
DATE_YYYYMMDD_4:
NAME_2:
TITLE_1:
SIGNATURE_1:
DATE_YYYYMMDD_1:
NAME_3:
TITLE_3:
SIGNATURE_2:
DATE_YYYYMMDD_2:
Reset:

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