TE_8-1_-_DA_Form_5479-R,_March_2008.pdf

Department of the Army Form Mar 2008 PDF 38 KB Posted

Attached to
Laundry & Dry Cleaning Services
Solicitation number
W9124G20R0001
Issued by

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From the source

Technical Exhibit 8-1

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Other versions and copies of DA Form 5479-R

2 government files on GovTribe name DA Form 5479-R. Different revisions are separate documents; copies of this exact file point search engines to its first posting.

File Revision Posted Attached to
LDC TE 9 - Contract Discrepancy Report DA Form 5479-R.pdf Same revision and size as this file Revision not stated Laundry & Dry Cleaning

Who attaches DA Form 5479-R

Agency Files
Department of the Army Materiel Command Mission and Installation Contracting Command Fort Eustis 1
Department of the Army Materiel Command Mission and Installation Contracting Command Fort Rucker 1

Other files

File Type Posted
Calculations_-_Laundry_&_Dry_Cleaning.xlsx XLSX spreadsheet
W9124G20R0001.pdf PDF
TE_6_-_Fair_Claims_Guide_from_DLI.pdf PDF
TE_2_-_Government_Furnished_Supplies.pdf PDF
TE_7_-_Performance_Requirements_Summary.pdf PDF
TE_8_-_Contract_Discrepancy_Report.pdf PDF
TE_4_-_Government_Furnished_Furniture.pdf PDF
TE_5_-_Direct_Exchange_Schedule.pdf PDF
TE_3_-_Government_Furnished_Equipment.pdf PDF
TE_1_-_Government_Furnished_Facilities.pdf PDF

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6.

2. 3.

PREPARED ORAL NOTIFICATION RETURNED BY CONTRACTOR ACTION COMPLETE

4. DISCREPANCY OR PROBLEM (Describe in Detail: Include reference in PWS / Directive: Attach continuation sheet if necessary.)

5. SIGNATURE OF CONTRACTING OFFICER

7.

8. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. ATTACH

1. CONTRACT NUMBER

9. SIGNATURE OF CONTRACTOR REPRESENTATIVE 10. DATE

11. GOVERNMENT EVALUATION (Acceptance, partial acceptance, rejection: attach continuation sheet if necessary)

12. GOVERNMENT ACTIONS (Payment deduction, cure notice, show cause, other.)

CONTRACT DISCREPANCY REPORT

For use of this form, see DA PAM 5-20; the proponent agency is ACSIM.

TO: (Contractor and Manager Name)

DATES

CLOSE OUT

CONTRACTOR

NOTIFIED

NAME AND TITLE SIGNATURE DATE

QAE

CONTRACTING

OFFICER

CONTINUATION SHEET IF NECESSARY. (Cite applicable Q.A. program procedures or new A.W. procedures.)

DA FORM 5479, MAR 2008 APD LC v1.01ES

FROM: (Name of QAE)

TO: (Contracting Officer) FROM: (Contractor)

PREVIOUS EDITIONS ARE OBSOLETE.

6.

2.

3.

PREPARED

ORAL NOTIFICATION

RETURNED BY CONTRACTOR

ACTION COMPLETE

4. DISCREPANCY OR PROBLEM

(Describe in Detail: Include reference in PWS / Directive: Attach continuation sheet if necessary.)

5. SIGNATURE OF CONTRACTING OFFICER

7.

8. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. ATTACH

1. CONTRACT NUMBER

9. SIGNATURE OF CONTRACTOR REPRESENTATIVE

10. DATE

11. GOVERNMENT EVALUATION

(Acceptance, partial acceptance, rejection: attach continuation sheet if necessary)

12. GOVERNMENT ACTIONS

(Payment deduction, cure notice, show cause, other.)

CONTRACT DISCREPANCY REPORT

For use of this form, see DA PAM 5-20; the proponent agency is ACSIM.

TO:

(Contractor and Manager Name)

DATES

CLOSE OUT

CONTRACTOR

NOTIFIED

NAME AND TITLE

SIGNATURE

DATE

QAE

CONTRACTING

OFFICER

CONTINUATION SHEET IF NECESSARY.

(Cite applicable Q.A. program procedures or new A.W. procedures.)

DA FORM 5479, MAR 2008

APD LC v1.01ES

FROM:

(Name of QAE)

TO:

(Contracting Officer)

FROM:

(Contractor)

PREVIOUS EDITIONS ARE OBSOLETE.

1.01

DA FORM 5479, MAR 2008

CONTRACT DISCREPANCY REPORT

APD

CONTRACT:
TO_A:
FROM_A:
PREPARED:
ORALNOTE:
RETURN:
ACTION:
PROBLEM:
SIGN_A:
signature_BUTTON1:
TO_B:
FROM_B:
CONTRACTR:
SIGN_B:
signature_BUTTON2:
DATE_A:
GOVERNMNT:
GOVMTACTN:
NAME_A:
signature_BUTTON3:
SIGN_C:
DATE_B:
NAME_B:
signature_BUTTON4:
SIGN_D:
DATE_C:
NAME_C:
signature_BUTTON5:
SIGN_E:
DATE_D:

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