REPORT_OF_GOVERNMENT_FURNISHED_PROPERTY_DISCREPANCY_(3).doc

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Attached to
110 Propeller overhaul/repair
Solicitation number
HSCG40-13-R-19004
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Report of government Furnished Property Discrepancy - Attachment 3 of the solicitation

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HSCG40-13-R-19004

ATTACHMENT 3

REPORT OF GOVERNMENT FURNISHED PROPERTY DISCREPANCY

Should any items provided as government furnished property under this contract/order fail to conform to the requirements of the contract/order, the contractor shall submit this discrepancy online at the following website: http://www.uscg.mil/hq/elcbalt/procsdr.asp within 10 calendar days after receipt of the government furnished property.

Upon receipt of this discrepancy report, the Contracting Officer/Contract Administrator shall provide disposition instructions to the Contractor no later than 10 calendar days after receipt.

A sample of this form found online is attached below. Questions in regards to this form shall be directed to the Contracting Officer.

SURFACE FORCES LOGISTICS CENTER

SFLC Baltimore Procurement SDR(ROD) Form

Contract/Delivery Information

*Contract/ PO #:

Delivery Order #

Contractor Information

*Contact Name:

*Contact Phone:

*Contact Email:

*Company Name:

*Company Address:

ELC Contact Information

*Contracting Officer:

Government-Furnished Material to be Received (Provide the item name, national stock number, partnumber, serial number, quantity, etc. that should have been received under the above contract/purchase order)

Item Name
National Stock Number

(e.g. 5998-01-123-1234)

Part Number
Serial Number
Quantity

Actual Material Received (Provide the item name, national stock number, partnumber, serial number, quantity, etc. that was actually received)

Item Name
National Stock Number
Part Number
Serial Number
Quantity

Discrepancy Information

* Nature of Discrepancy:

Description of discrepancies

Bottom of Form

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