Attachment X - Contractor Discrepancy Report.docx

DOCX document 8 KB Posted

Attached to
Naval Information Warfighting Development Center Electronic Warfare Data IDIQ
Solicitation number
N0018926RL023
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About this file

This is a blank template for a Contractor Discrepancy Report to be used under the contract. The form serves as the official mechanism for documenting and resolving performance or compliance issues between the Government and the contractor. The top section allows the Contracting Officer's Representative (COR) to document a specific discrepancy, including the contract and task order numbers, date, and detailed description of the issue with relevant references. The contractor then submits a formal response section detailing the root cause of the discrepancy and corrective actions taken. Following the contractor's response, the COR provides government comments evaluating the adequacy of the contractor's corrective measures. The form requires signatures and dates from both the COR and contractor's representative, with final authorization from the Contracting Officer, ensuring accountability and traceability throughout the discrepancy resolution process.

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Text version

CONTRACTOR DISCREPANCY REPORT

CONTRACT NO :

TASK ORDER NO: NIA

DATE:

TO: (Contractor' s name and address)
FROM: (Facility Name and address, including COR)

DISCREPANCY (INCLUDE REFERENCE):

SIGNATURE OF COR:

DATE:

TO:(Facility name and address, including COR)
FROM : (Contractor' s name and address)

CONTRACTOR RESPONSE AS TO CAUSE AND CORRECTIVE ACTION TAKEN:

SIGNATURE OF CONTRACTOR' S REP:

DATE:

GOVERNMENT COMMENT ON RESPONSE:

SIGNATURE OF COR:

SIGNATURE OF CONTRACTING OFFICER:

DATE: DATE:

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