Attachment F - Contract Discrepancy Report.pdf
PDF 110 KB Posted
- Attached to
- National Dialysis Services Contract (NDSC) Federal contract opportunity
- Solicitation number
- 36C10G25R0022
About this file
The document is a Contract Discrepancy Report (CDR) template used to document and track contract performance issues, problems, or discrepancies in a federal contract. The form provides a structured format for the Contracting Officer's Representative (COR) to report issues, including sections for detailed problem description, contractor response, corrective actions, government evaluation, and final close-out. Key sections include spaces for contract number, dates, problem description, contractor's root cause analysis and proposed corrective actions, government evaluation, and final resolution tracking. This template is specifically associated with the National Dialysis Services Contract (NDSC) for the Department of Veterans Affairs Headquarters, solicitation number 36C10G25R0022.
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Text version
CONTRACT DISCREPANCY REPORT
1. CONTRACT NUMBER 2. REPORT NUMBER FOR THIS DISCREPANCY
3. TO: (Contracting Officer) 4. FROM: (Name of COR)
5. DATES
a. CDR 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 COR Date:
8. SIGNATURE OF CONTRACTING OFFICER Date:
9a. TO (Contracting Officer) 9a. FROM (Contractor)
10. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION 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. (Acceptance, partial acceptance, reflection. Attach continuation sheet(s) if necessary.)
13. GOVERNMENT ACTIONS (Acceptance, partial acceptance, reflection. Attach continuation sheet(s) if necessary.)
14. CLOSE OUT
NAME TITLE SIGNATURE DATE
a. CONTRACTOR
NOTIFIED
b. COR c.
CONTRACTING
OFFICER
File details come from the government source that posted it. Updated .