Attachment_8_-_Contract_Discrepancy_Report.pdf
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- Attached to
- Multidiscipline Healthcare Services
- Solicitation number
- HSCG23-17-R-P1C000
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Attachment 8 - Contract Discrepancy Report
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RFP HSCG23-17-P1C000 ATTACHMENT 8 Page 1 of 4
1. Contract Number
2. Report Serial No.
3. Report # this Discrepancy
4. To: (Contractor and Managers Name)
5. From: (Name of QAE)
DATES
6. Prepared
Oral Notification
Returned by Contractor Action Complete
7. Discrepancy or Problem (Describe in detail: include reference to PMS/Directive: attach continuation sheet if needed.
8. Signature of Contracting Officer
9. To: (Contracting Officer) From: (Contractor)
10. Contractor response as to cause, corrective action and actions to prevent recurrence. Attach continuation sheet if needed (Cite applicable QC program procedures(s) or new QC procedures(s).)
11. Signature of Contractor Representative
Date
12. Government Evaluation (Acceptance, rejection: Attach continuation sheet if needed)
13. Government Action (Payment deductions, Cure Notice, Show Cause Letter, other)
RFP HSCG23-17-P1C000 ATTACHMENT 8 Page 2 of 4
14. Final Disposition
CLOSE OUT
Name – Title
Signature
Date
Contractor Notified
QAE
Contracting Officer
PERFORMANCE EVALUATION MEETING RECORD
1. Date of Meeting:_______________________________
2. Persons in Attendance (Representing)
1)_______________________________________ 2)________________________________________ 3)_______________________________________ 4)________________________________________ 5)_______________________________________ 6)________________________________________
3. Contract Discrepancy Reports Discussed (List):
4. Other Discrepancies, Problems or Topics Discussed (Describe in detail. Attach continuation sheet if needed)
RFP HSCG23-17-P1C000 ATTACHMENT 8 Page 3 of 4
5. Contractor Actions Required. (Attach continuation sheet if needed)
6. Government Actions Required. (Attach continuation sheet if needed)
7. Signature of Contractor’s Project Manager Date
8. Signature of Government Representative Date (Contracting Officer, COR, or QAE)
RFP HSCG23-17-P1C000 ATTACHMENT 8 Page 4 of 4
Procedures for Completing the Contract Discrepancy Report (CDR)
1. Contract Number. Your contract Number
2. Report Serial Number. Each Contract Discrepancy Report for a particular contract shall be numbered sequentially beginning with the last three digits of your contract number followed by a "-" then
001. Example 029-001
3. Report # this Discrepancy. If this is a recurring discrepancy, this is completed by COR as 1st, 2nd, 3rd, etc.
4. To: (Contractor or Managers Name). Self explanatory.
5. From: (Name of QAE) Contracting Officer Representative's COR name or person completing the form.
6. Prepared: The date completed by the COR.
Oral Notification: The date an oral notification was given.
Returned by Contractor: Date contractor returned form.
Action Complete: Date action completed.
7. Discrepancy of Problem: A brief but detailed explanation of the discrepancy being reported, including references to the section of the Solicitation (should this state contract?) that is affected.
Completed by the COR.
8. Signature of the Contracting Officer: After COR completes all required fields, the form is forwarded to the MLC-fcp-1(this isn’t correct, is it?) for approval.
9. To: (Contracting Officer) Completed by the Contractor after review of the discrepancy when forwarding back.
From: (Contractor) Name of authorized Contractor Representative
10. Contractor response as to cause, corrective action and actions to prevent recurrence. A brief but detailed explanation of the Contractor's position including suggested remedies. Attach a continuation sheet if necessary.
11. Signature of Contractor Representative & Date: Signature of an authorized Contractor representative certifying the Contractor's position with regard to the CDR.
12. Government Evaluation: Comments on the Government's evaluation of the Contractor's recommended course of action. Attach a continuation sheet if necessary.
13. Government Action: Corrective action(s) directed by the government.
14. Final Disposition: To be completed by the Government.
15. Close out: To be completed by the Government.
File details come from the government source that posted it. Updated .