Attachment 5 DD2772.pdf
DoD Form PDF 279 KB Posted
- Solicitation number
- W911WN10B0003
About this file
Attachment 5
View the file
Other versions and copies of DD Form 2772
Show all 20
Who attaches DD Form 2772
Other files
| File | Type | Posted |
|---|---|---|
| BidResults for 10B0003.doc | DOC document | |
| Amen 01 10-B-0003.pdf | ||
| INCUMBENT PRICING.pdf | ||
| Exh 1-2 Area Map Mahaney Map.ppt | PPT presentation | |
| Attachment 2.pdf | ||
| Attachment 4 QASP.pdf | ||
| Exh 3 11Shenango Lake Sewage Treatment Plant Location Map.ppt | PPT presentation | |
| EXH 4 SOP_WATER DIST.pdf | ||
| Solicitation W911WN-10-B-0003.pdf | ||
| Attach 1 WD 05-2451 5-26-09.pdf | ||
| Attachment 3.pdf | ||
| EXH 5 SOP_SEWAGE TREATMENT.pdf |
Show all 12
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACT DISCREPANCY REPORT
1. CONTRACT NUMBER 2. REPORT NUMBER FOR THIS DISCREPANCY
3. TO (Contractor and Manager's Name) 4. FROM (Name of QAE)
5. DATES (YYYYMMDD)
a. PREPARED b. RETURNED BY CONTRACTOR c. ACTION COMPLETE
6. DISCREPANCY OR PROBLEM (Describe in detail. Include reference to PWS Directive; attach continuation sheet if necessary.)
7. SIGNATURE OF CONTRACTING OFFICER
8a. TO (Contracting Officer) b. FROM (Contractor)
9. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. (Cite applicable Q.C.
program procedures or new Q.C. procedures. Attach continuation sheet(s) if necessary.)
10. SIGNATURE OF CONTRACTOR REPRESENTATIVE b. DATE (YYYYMMDD)
11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, reflection. Attach continuation sheet(s) if necessary)
12. GOVERNMENT ACTIONS (Reduced payment, cure notice, show cause, other)
13. CLOSE OUT
NAME
(1)
TITLE
(2)
SIGNATURE
(3)
DATE (YYYYMMDD)
(4)
a. CONTRACTOR
NOTIFIED
b. QAE
c. ACO
DD FORM 2772, SEP 1998 (EG) REPLACES MT FORM 352-R, WHICH IS OBSOLETE. Designed using Perform Pro, WHS/DIOR, Sep 98
ATTACHMENT 5
| 1_CONTRACT_NUMBER: |
| 2_REPORT_NUMBER_FOR_THIS: |
| 3_TO_Contractor_and_Manag: |
| 4_FROM_Name_of_QAE: |
| a_PREPARED: |
| b_RETURNED_BY_CONTRACTOR: |
| c_ACTION_COMPLETE: |
| 6_DISCREPANCY_OR_PROBLEM: |
| 7_SIGNATURE_OF_CONTRACTIN: |
| 8a_TO_Contracting_Officer: |
| b_FROM_Contractor: |
| 9_CONTRACTOR_RESPONSE_AS: |
| 10_SIGNATURE_OF_CONTRACTO: |
| b_DATE_YYYYMMDD: |
| 11_GOVERNMENT_EVALUATION: |
| 12_GOVERNMENT_ACTIONS_Red: |
| NAME_1: |
| TITLE_2: |
| SIGNATURE_3: |
| DATE_YYYYMMDD_4: |
| NAME_2: |
| TITLE_1: |
| SIGNATURE_1: |
| DATE_YYYYMMDD_1: |
| NAME_3: |
| TITLE_3: |
| SIGNATURE_2: |
| DATE_YYYYMMDD_2: |
| Reset: |
File details come from the government source that posted it. Updated .