Attachment_2_CDR.pdf

PDF 22 KB Posted

Attached to
Inspection and Maintenance Services at USCG Forward Operating Location (FOL) St. Paul, AK
Solicitation number
HSCG84-16-Q-A17502
Issued by

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Attachment 2 - CDR

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Text version

RFQ #HSCG84-16-Q-A17502

Attachment 2

CONTRACT DISCREPANCY REPORT

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, other)

14. Final Disposition

CLOSE OUT

Name – Title

Signature

Date

Contractor Notified

QAE

Contracting Officer

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