ATTACHMENT_4-Event_Quality_Assurance.pdf

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W912L1-19-R-0005
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W912L1-19-R-0005
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Quality Assurance Plan:

The COR will monitor Contractor performance and complete the Quality Assurance Worksheet provided below as specified in individual Task Orders. The Quality Assurance Worksheet will be submitted directly to the Contracting Officer with a copy to the Contractor following the evaluated period, not later than the 15th of the month following the Task Order Period. The KO will assume a quality performance rating of “Green” on all measured deliverables unless otherwise notified.

The quality rating may change from “Green” to “Red” without notice. The COR may use the “Yellow” quality rating to alert the Contracting Officer and the Contractor of quality issues that have the potential for a “Red” quality rating if corrective action is not taken.

At the end of the Task Order period of performance or annually, the COR will be asked to complete a Quality Performance Review to document the quality performance rating during the performance period. This will be submitted to the Contracting Officer with a copy to the Contractor.

The COR may submit a Quality Assurance Worksheet at anytime and as often as necessary to document quality levels. If Contractor response to an identified quality deficiency is unsatisfactory, the Contracting Officer or COR will contact the appropriate Contractor’s representative to implement a plan of action to remedy the identified deficiency.

Unless the Task Order specifies differently, the COR for this Quality Assurance Plan is MAJ Geoffrey Powell, the Office of the State Surgeon, NGTX, at Geoffrey.i.powell.mil@mail.mil , 512-782-1134.

Rating Description Green Performance and technical specifications are being met at Acceptable Quality Levels (AQL) Yellow Performance and technical specifications are currently being met at the minimum AQL, but the following service/deliverable needs contractor attention.

*The Customer must identify what component of the deliverable and/or service requires attention

Red Performance and technical specifications are not being met at AQL and the following service/deliverable needs immediate Contractor resolution.

The Customer must identify what component of the deliverable and/or service is below the minimum

AQL.

mailto:Geoffrey.i.powell.mil@mail.mil

QUALITY ASSURANCE PLAN WORKSHEET (Page 1) Performance Rating

Deliverable/Service √ Quality Rating Causative Factors Effect On Mission Action Required/Date

Vehicle Green Comments Unnecessary for “Green” QA Rating

Yellow

Red

Medical Services Green Comments Unnecessary for “Green” QA Rating

Dental Services Green Comments Unnecessary for “Green” QA Rating Yellow

Red Prescription Services

Green Comments Unnecessary for “Green” QA Rating

Case Management Services

Green Comments Unnecessary for “Green” QA Rating

Note: Attach Invoice Period of Performance: From _______________to____________

Approved by: MAJ Powell, Geoffrey Date: ___________________ (Task Order COR)

Original Task Order Amount $ _________________

Actual Task Order Amount $ _________________

Request for Additional Funds Required YES NO

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