RFQ295 - Attachment 5 - Contract Discrepancy Notice.docx

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Attached to
VERTICAL POLYETHYLENE LIQUID STORAGE TANKS
Solicitation number
295
Issued by
Ada County, Idaho

About this file

This document is a Contract Discrepancy Notice related to a state contract for the procurement of Vertical Polyethylene Liquid Storage Tanks. The contract number is TBD, and the contract name is "Vertical Polyethylene Liquid Storage Tanks". The notice identifies discrepancies found by the Idaho Transportation Department (ITD) while monitoring the contractor's performance. The discrepancies require a response from the contractor detailing the corrective actions to be taken and the estimated resolution date. The notice also includes observations of potential future non-compliance issues that do not require a response unless otherwise noted.

The related state and local contract opportunity is for 10,000 Gallon Vertical Polyethylene Liquid Storage Tanks, with the state being Idaho. No other details about pricing, set asides, incumbents, funding, or term of the contract are provided in the information given.

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Text version

RFQ295 - Attachment 5 - Contract Discrepancy Notice

Contract No:
TBD
Contract Name:
Vertical Polyethylene Liquid Storage Tanks

Discrepancy Information: This Contract Discrepancy Notice identifies the Discrepancy(ies) found by ITD while monitoring the Contractor’s performance required per the referenced contract. Items identified as “Discrepancy” require a response from the Contractor. Items identified as “Observation” are areas of concern that may lead to a future Discrepancy if not addressed. Observations do not require a response unless otherwise noted in this notice.

ITD has identified the following Discrepancy(ies):

(Add additional tables for multiple discrepancies)

Description of Discrepancy:
Describe the discrepancy in detail and explain how the contractor is out of compliance. Attach photos or other supporting documents and reference here.
Contract Reference:
Site the document name, attachment #, and section # of the requirement out of compliance.
Required Action:
Site the required corrective action from the contract.
Contractor’s Resolution:
Contractor to describe action that will be taken to correct the discrepancy in order to become compliant with the contract.
Estimated Resolution Date:
Contractor to provide estimated date it anticipates resolving the discrepancy by.

ITD Contract Monitor - Check appropriate box with regard to Contractor’s resolution

Accept ☐
Partially Accept ☐
Reject ☐

Reason for Rejection or Partially Accepted

Anticipated Follow Up Date on Resolution

ITD Contract Monitor Signature

Date

Contractor - Sign below to indicate your understanding of the Discrepancy(ies) and your responsibility for resolution.

Contractor Printed Name

Title

Contractor Signature

Date

Resolution

ITD Contract Monitor – Sign below to indicate that each Discrepancy has been resolved based on the actions detailed in the Contractor’s Resolution for each Discrepancy.

ITD Contract Monitor Signature

Date

ITD has identified the following Observations (no response required):

Description of Observation:
Describe the observation in detail and explain how it may lead to a non-compliance issue in the future. Attach photos or other supporting documents and reference here.
Contractor’s Response (optional):
Contractor to describe action that will be taken to correct the discrepancy in order to become compliant with the contract.

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