CONTRACT DISCREPANCY REPORT.docx

DOCX document 16 KB Posted

Attached to
Intraoperative Neurophysiologic Monitoring Services (IONM)
Solicitation number
36C24623Q0900_2
Issued by

About this file

This document is a Contract Discrepancy Report template to be used by the contracting officer and Contracting Officer's Representative to document any problems or discrepancies with a federal contractor's performance. It requires the contract number, report number, dates, names of individuals involved, a detailed description of the discrepancy or problem including reference to the Performance Work Statement directive, signatures by the COR and contracting officer, and space for the contractor's response and proposed corrective actions.

The related federal contract opportunity is solicitation number 36C24623Q0900_2 from the Department of Veterans Affairs Veterans Health Administration VISN 6 for Intraoperative Neurophysiologic Monitoring Services. The solicitation seeks IONM services but provides no further details on required products or services, response dates, pricing terms, or other salient information.

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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

CONTRACTOR NOTIFIED

COR

CONTRACTING OFFICER

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