Atthachment G2-Contractor Discrepancy Report Sample.pdf

U. S. COAST GUARD

CONTRACT DISCREPANY REPORT (CDR)

1. Contract No._____________DO#_______2. FY______3. Report # _____

4. TO: (Contractor/QCI)________________________________________

5. FROM: (COTR)_____________________________________________

6. DATES:

Prepared | Oral Notification | Returned by Contractor | Action Complete

7. Discrepancy or Problem (Describe in detail; include references to PWS paragraph or other contract clause or provision; attach continuation sheet if necessary; COTR/QAE shall cite applicable QC program procedure(s)):

8. TO: (Contracting Officer)_______________________________

9. FROM: (Contractor)________________________________________

10. Contractor’s response as to cause, corrective action and actions to prevent recurrence.

Attach continuation sheet if necessary.

11. Signature of Contractor’s Representative:

________________________________________________Date__________

12. Government Evaluation: acceptance, partial acceptance, rejection. Attach continuation sheet if necessary.

13. Government Actions: payment deductions, performance evaluation meetings, or other actions.

14. Closeout Actions: contractor notified; by whom/date; follow-up actions pending.