ANNEX_H.pdf

MEMORANDUM – MONTHLY CONTRACT

ASSESSMENT REPORT

(SAMPLE)

(Insert date)

(insert office symbol)

MEMORANDUM FOR DIRECTOR OF CONTRACTING, ATTN: (insert office symbol, KO’s name), (insert address including building number)

SUBJECT: Monthly Contract Assessment Report, Contract Number (insert contract number).

1. References:

a. Installation Food Service Contract (insert number).

b. Memorandum (insert date) subject: Letter of Designation, KO’s Representative.

2. The following report summarizes the quality assurance inspection performed during the month of (insert month). Contract inspections have been conducted in accordance with the Inspection Plan submitted the Directorate of Contracting (insert date) and other inspection performed throughout the month. Recommend contract payment in the amount of $ (insert dollar amount) be paid the Contractor based on the following supporting documentation:

3. The following attachments are provided as supporting documentation:

a. DD Form 250, Materiel and Receiving Report

b. Performance Requirements Summary(ies) Report

c. Payment computation for reduction of payment/fee

d. Additional supporting documentation: Planned QA Checklist inspections, impromptu inspections, valid Diner Comment Cards and memorandum(s)of record/meeting(s)

f. Contract Discrepancy Report(s)

4. Recommend that contract payment be expedited IAW prompt payment clause of reference contract and the appropriate remedies (reference “Inspection of Services” clause) are taken in conjunction with reference contract.

CF: DOL, IFA (insert your name)

Contracting Officer’s Representative

ANNEX H