LDC TE 9 - Contract Discrepancy Report DA Form 5479-R.pdf

PDF 38 KB Posted

Attached to
Laundry & Dry Cleaning Federal contract opportunity
Solicitation number
W9124G21R0008
Issued by
Department of the Army Materiel Command Mission and Installation Contracting Command Fort Eustis

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Other files for this federal contract opportunity

Other files attached to Laundry & Dry Cleaning, newest first.
File Type Posted
W9124G-21-R-0008 - Qs and As - 15 Oct 21.pdf PDF
W9124G-21-R-0008 Amendment 0001.pdf PDF
LDC TE 10 - Customer Complaint Record DA Form 5477-R.pdf PDF
LDC TE 5 - Govt Furnished Facilities.pdf PDF
RFQ Attachment 2 - Past Performance Questionare.docx DOCX document
LDC TE 4 - Govt Furnished Equipment.pdf PDF
LDC TE 2 - Direct Exchange Schedule.pdf PDF
LDC TE 6 - Govt Furnished Supplies.pdf PDF
W9124G-21-R-0008.pdf PDF
LDC TE 7 - Govt Furniture.pdf PDF
LDC TE 11 - ACA Contractors in Workplace - Final March 2004.pdf PDF
LDC TE 8 - Pricing Matrix.xlsx XLSX spreadsheet
RFQ Attachment 3 - Past Performance Consent Letter.docx DOCX document
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6.

2. 3.

PREPARED ORAL NOTIFICATION RETURNED BY CONTRACTOR ACTION COMPLETE

4. DISCREPANCY OR PROBLEM (Describe in Detail: Include reference in PWS / Directive: Attach continuation sheet if necessary.)

5. SIGNATURE OF CONTRACTING OFFICER

7.

8. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. ATTACH

1. CONTRACT NUMBER

9. SIGNATURE OF CONTRACTOR REPRESENTATIVE 10. DATE

11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, rejection: attach continuation sheet if necessary)

12. GOVERNMENT ACTIONS (Payment deduction, cure notice, show cause, other.)

CONTRACT DISCREPANCY REPORT

For use of this form, see DA PAM 5-20; the proponent agency is ACSIM.

TO: (Contractor and Manager Name)

DATES

CLOSE OUT

CONTRACTOR

NOTIFIED

NAME AND TITLE SIGNATURE DATE

QAE

CONTRACTING

OFFICER

CONTINUATION SHEET IF NECESSARY. (Cite applicable Q.A. program procedures or new A.W. procedures.)

DA FORM 5479, MAR 2008 APD LC v1.01ES

FROM: (Name of QAE)

TO: (Contracting Officer) FROM: (Contractor)

PREVIOUS EDITIONS ARE OBSOLETE.

6.

2.

3.

PREPARED

ORAL NOTIFICATION

RETURNED BY CONTRACTOR

ACTION COMPLETE

4. DISCREPANCY OR PROBLEM

(Describe in Detail: Include reference in PWS / Directive: Attach continuation sheet if necessary.)

5. SIGNATURE OF CONTRACTING OFFICER

7.

8. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. ATTACH

1. CONTRACT NUMBER

9. SIGNATURE OF CONTRACTOR REPRESENTATIVE

10. DATE

11. GOVERNMENT EVALUATION

(Acceptance, partial acceptance, rejection: attach continuation sheet if necessary)

12. GOVERNMENT ACTIONS

(Payment deduction, cure notice, show cause, other.)

CONTRACT DISCREPANCY REPORT

For use of this form, see DA PAM 5-20; the proponent agency is ACSIM.

TO:

(Contractor and Manager Name)

DATES

CLOSE OUT

CONTRACTOR

NOTIFIED

NAME AND TITLE

SIGNATURE

DATE

QAE

CONTRACTING

OFFICER

CONTINUATION SHEET IF NECESSARY.

(Cite applicable Q.A. program procedures or new A.W. procedures.)

DA FORM 5479, MAR 2008

APD LC v1.01ES

FROM:

(Name of QAE)

TO:

(Contracting Officer)

FROM:

(Contractor)

PREVIOUS EDITIONS ARE OBSOLETE.

1.01

DA FORM 5479, MAR 2008

CONTRACT DISCREPANCY REPORT

APD

CONTRACT:
TO_A:
FROM_A:
PREPARED:
ORALNOTE:
RETURN:
ACTION:
PROBLEM:
SIGN_A:
signature_BUTTON1:
TO_B:
FROM_B:
CONTRACTR:
SIGN_B:
signature_BUTTON2:
DATE_A:
GOVERNMNT:
GOVMTACTN:
NAME_A:
signature_BUTTON3:
SIGN_C:
DATE_B:
NAME_B:
signature_BUTTON4:
SIGN_D:
DATE_C:
NAME_C:
signature_BUTTON5:
SIGN_E:
DATE_D:

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