Attachment I - Contract Discrepancy Report.pdf

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Attached to
Material Handling Equipment Maintenance Services
Solicitation number
N0018923R0037
Issued by

About this file

This document contains a Contract Discrepancy Report template and details of a solicitation for Material Handling Equipment Maintenance Services. The Navy's Naval Supply Systems Command Fleet Logistics Center Norfolk requires logistics support services including maintenance, repair, transportation, administrative support, and external painting of shipboard and shore-based Material Handling Equipment and Shipboard Mobile Support Equipment. The affected units are identified in 18-Month Heavy Maintenance Programs, Modified Service Life Extension overhauls, contingency pool assets undergoing cyclic maintenance, and commands in the Tidewater area requiring on-site services. Responses to the solicitation N0018923R0037 are due as specified in the attached documents. The Contract Discrepancy Report template outlines a process for documenting and resolving issues with contractor performance and compliance with a contract's terms and conditions.

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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DD FORM 2772, SEP 1998 REPLACES MT FORM 352-R, WHICH IS OBSOLETE.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:

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