Attachment_8_-_Contract_Discrepancy_Report.pdf

PDF 44 KB Posted

Attached to
Multidiscipline Healthcare Services
Solicitation number
HSCG23-17-R-P1C000
Issued by

About this file

Attachment 8 - Contract Discrepancy Report

View the file

Other files

File Type Posted
Amendment_00005.pdf PDF
Attachment_9_-_Manning_Levels_Service_Breakdown_Rates.xls XLS spreadsheet
ATTACHMENT_3(d)_-_General_Dentistry_Dentist_with_Exodontias_PD.pdf PDF
Attachment_1_-_PWS_05_23_17.pdf PDF
Attachment_3a_-_Certified_Medical_Assistant.pdf PDF
Attachment_3s_-Independent_Duty_Dentist.pdf PDF
Attachment_9_-_Manning_Levels_Service_Breakdown_Rates.xls XLS spreadsheet
Amendment_00004.pdf PDF
A00004_Questions_Government_Response.xls XLS spreadsheet
Attachment_3q_-_Physical_Therapy_PD.pdf PDF
Attachment_3r_-_Flight_Surgeon.pdf PDF
Attachment_9_-_Manning_Levels_Service_Breakdown_Rates.xls XLS spreadsheet
Amendment_00003.pdf PDF
A00003_Questions_Government_Response.xls XLS spreadsheet
Attachment_10_-_Past_Performance_Information_Sheet.docx DOCX document
Attachment_5_-_DOL_WD_List_by_Regions.xls XLS spreadsheet
Amendment_00002.pdf PDF
Attachment_9_-_Manning_Levels_Service_Breakdown_Rates.xls XLS spreadsheet
Attachment_11_-_Contract_Administration_Information.doc DOC document
Attachment_2_-_Schedule_of_SuppliesServices.xls XLS spreadsheet
Attachment_4_-_Clinic_Locations_and_Positions.xls XLS spreadsheet
Attachment_9_-_Manning_Levels_Service_Breakdown_Rates.xls XLS spreadsheet
Attachment_4_-_Clinic_Locations_and_Positions.xls XLS spreadsheet
Amendment_00001.pdf PDF
Attachment_3m_-_Physician.pdf PDF
HSCG23-17-R-P1C000_Solicitation.pdf PDF
Attachment_9_-_Manning_Levels_Service_Breakdown_Rates.xls XLS spreadsheet
Attachment_3h_-_Oral_Surgeon.pdf PDF
Attachment_3e_-_Medical_Lab_Technologist.pdf PDF
Attachment_10_-_Past_Performance_Information_Sheet.docx DOCX document
Attachment_3d_-_General_Dentistry.pdf PDF
Attachment_3_-_List_of_Positions.xls XLS spreadsheet
Attachment_3b_-_Dental_Assistant.pdf PDF
Attachment_1_-_PWS.pdf PDF
SF1449.pdf PDF
Attachment_3f_-_Nursing.pdf PDF
Attachment_3n_-_Psychiatrist.pdf PDF
Attachment_3p_-_Clinical_Psychologist.pdf PDF
Attachment_3c_-_Dental_Hygienist.pdf PDF
Attachment_4_-_Clinic_Locations_and_Positions.xls XLS spreadsheet
Attachment_5_-_DOL_WD_List_by_Regions.xls XLS spreadsheet
Attachment_3a_-_CMA.pdf PDF
Attachment_3o_-_Psychiatric_Social_Worker.pdf PDF
Attachment_3j_-_Pharmacy_Tech.pdf PDF
Attachment_6_-_Credential_Review_Form.pdf PDF
Attachment_3k_-_Physical_Therapy.pdf PDF
Attachment_7_-_Complaint_Record.pdf PDF
Attachment_3g_-_Optometry.pdf PDF
Attachment_3i_-_Paramedic.pdf PDF
Attachment_2_-_Schedule_of_SuppliesServices.xls XLS spreadsheet
Show 40 more

Latest 50 of 51 listed here. See the rest on GovTribe.

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

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 .