PWS_Attachment_5_-_Contract_Discrepancy_Report.pdf

34 KB Posted

Attached to
Stonewall Jackson Lake Building and Grounds
Solicitation number
W911WN-18-T-3010
Issued by

About this file

From the source

PWS Attachment 5

View the file

Other files

File Type Posted
Price_Schedule_Revision_1-_W911WN18T3010.xls XLS spreadsheet
PWS_Attachment_3_-_Activity_Hazard_Analysis.pdf PDF
PWS_Exhibit_B,_Atch_1_Herbicide_Application_Map.pdf PDF
PWS_Exhibits_A_-_C.pdf PDF
Price_Schedule_-_W911WN18T3010.xls XLS spreadsheet
W911WN18T3010.pdf PDF
PWS_Attachment_6_-_Pesticide_Application_Record.pdf PDF
PWS_Attachment_4_-_USACE_ENG_Form_3394.pdf PDF
PWS_Attachment_1_-_Suggested_Components_Quality_Control_Plan.pdf PDF
PWS_Attachment_2_-_Accident_Prevention_Plan.pdf PDF
PWS_Exhibit_A,_Atch_1_Mowing_Maps.pdf PDF
Map_Info_Only_-_Vicinity_Stonewall_Jackson_Lake.pdf 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
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

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DD FORM 2772, SEP 1998 (EG) REPLACES MT FORM 352-R, WHICH IS OBSOLETE.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.