Attachment 3: CDR

Attachment 4: Contractor Discrepancy Report

CONTRACT DISCREPANCY REPORT

1. CONTRACT OR AGREEMENT NUMBER:

2. REPORT NUMBER FOR THIS DISCREPANCY:

3. TO:

4. FROM:

5. DATES

a. DISCREPANCY IDENTIFIED:

b. CDR DELIVERED/RECEIVED:

c. INITIATE CORRECTIVE ACTION:

6. DISCREPANCY OR PROBLEM: (Describe in detail. Include reference to PWS section; use attached continuation sheet(s) if necessary.)

7. SIGNATURE OF COR:

DATE:

8. SIGNATURE OF CONTRACTING OFFICER:

DATE:

9a. TO:

9b. TITLE:

10. CONTRACTOR RESPONSE AS TO CAUSE, CORRECTIVE ACTION AND ACTIONS TO PREVENT RECURRENCE. (Cite applicable Quality Control Plan procedures or new procedures. Use attached continuation sheet(s) if necessary.)

11. SIGNATURE OF CONTRACTOR REPRESENTATIVE:

DATE:

12. GOVERNMENT ACTIONS. (Acceptance, partial acceptance, rebuttal. Use attached continuation sheet(s) if necessary.)

13. GOVERNMENT EVALUATION. (Acceptance, partial acceptance, rebuttal. Use attached continuation sheet(s) if necessary.)

14. CDR CLOSE OUT. (Following successful resolution of contract discrepancy(ies).)

ACKNOWLEDGEMENT: TO THE BEST OF MY KNOWLEDGE AND BELIEF a. CONTRACTOR:

(I accept that appropriate corrective actions and close out remedies where employed.)

b. COR:

(I accept that appropriate corrective actions and close out remedies where employed.)

c. CO:

(I accept that the parties worked cooperatively to correct the discrepancy(ies).)

INITIALS

DATE

INSTRUCTIONSFORCOMPLETION:



1. Statethebasecontractoragreementnumberforwhichtask/deliveryordersarebeingissuedagainst. ThisincludesagencyawardswhichcontaineitherA,C,orDinthenumberingconvention(e.g.VA118Ͳ 16ͲCͲ0001)aswellasVAFSSorNACBPAs.ThisalsoincludesMAS,GWACs,andotheragencyMACs authorizedaseitherassistedacquisitionordirectacquisitionbyanotheragency. 

2. GenerateauniquereportnumbertotrackeachCDR,usingthecurrentordernumberwhichcontains ForJ;ordefinitivecontractnumberwhichcontainsC,followedbytheinitials‘CDR’andthena sequentialnumber,astheofficialnumberingconvention(e.g.[VA118Ͳ16ͲFͲ0202]CDRͲ0001). 

3. PrintnameofthePrimeContractorCompany.



4. Printnameofthedivision/department/partyaffectedbythediscrepancy.



5. Pertinentdates,(a)whenwasthediscrepancyfirstidentified,(b)whenwastheCDRdeliveredtothe ContractorPOCfortheirreview/comment,and(c)afterdeliveryoftheCDRwhendoestheProgram Officerequirecorrectiveactionstocommence.(Note:TheCDRisconsideredtobereceivedbythe