CONTRACT_DISCREPANCY_REPORT.docx

DOCX document 16 KB Posted

Attached to
IA Support Federal contract opportunity
Solicitation number
N64267-15-T-0244
Issued by
Department of the Navy Naval Sea Systems Command

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Text version

CONTRACT DISCREPANCY REPORT

DATE AND TIME:

CONTRACT NUMBER:

CONTRACTOR:

SITE:

DESCRIPTION OF DISCREPANCY: (reference SOW/Directive)

DATE(S) OF VERBAL NOTIFICATION:

ORIGINATOR’S SIGNATURE:

ABOVE PORTION OF FORM IS TO BE FILLED OUT BY COR OR ACOR

CONTRACTOR’S RESPONSE AS TO CAUSE, CORRECTIVE ACTION, AND ACTION(S) TO PREVENT RECURRENCE. CITE APPLICABLE QA PROGRAM PROCEDURES OR NEW QA PROCEDURES:

SIGNATURE OF CONTRACTOR REPRESENTATIVE:

DATE:

ABOVE PORTION TO BE FILLED OUT BY CONTRACTOR

GOVERNMENT EVALUATION (ACCEPTANCE, PARTIAL ACCEPTANCE, REJECTION):

CLOSE OUT (TO BE FILLED OUT WHEN DISCREPANCY HAS BEEN SATISFACTORILY SOLVED):

FUNCTION

NAME/TITLE

SIGNATURE
DATE

ORIGINATOR

CONTRACTOR

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