Appendix 2 - Damage.pdf
PDF 37 KB Posted
- Attached to
- ON-CALL TREE REMOVAL AIKEN COUNTY
- Solicitation number
- 5400027953
- Issued by
- Aiken County, South Carolina
About this file
This document is an official Notice of Damage to SCDOT Property Form (Appendix 2) used by the South Carolina Department of Transportation to document and report property damage caused by contractors. The form is structured to capture essential information about incidents involving damage to SCDOT property, including contractor details (name, address, fax number), SCDOT office information (office location, address, phone number), and specific incident details such as date of occurrence, route, direction, and mile marker.
The form includes sections for documenting costs associated with the damage, breaking down the total cost into repair costs and liquidated damages. It requires a description of the damage and indicates that photographic evidence should be attached. The form must be completed by an SCDOT employee, who must provide their name, signature, and title. This appears to be a standard form used in the management and documentation of contractor-related property damage incidents within SCDOT's jurisdiction.
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Other files
| File | Type | Posted |
|---|---|---|
| Appendix 4-Contractor.pdf | ||
| Appendix 2 - Damage.pdf | ||
| Appendix 3 - Non Comp.pdf | ||
| Solicitation.pdf | ||
| Solicitation.pdf | ||
| Appendix 3 - Non Comp.pdf | ||
| Appendix 2 - Damage.pdf | ||
| Appendix 4-Contractor.pdf | ||
| Solicitation.pdf | ||
| Appendix 3 - Non Comp.pdf | ||
| Appendix 4-Contractor.pdf |
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Text version
APPENDIX 2 - NOTICE OF DAMAGE TO SCDOT PROPERTY FORM
DATE:
TO:
CONTRACTOR
CONTRACT NO.:
NAME:
ADDRESS:
FAX NO.:
FROM:
SOUTH CAROLINA
DEPARTMENT OF
TRANSPORTATION
OFFICE:
ADDRESS:
PHONE NO.:
RE: NOTIFICATION OF DAMAGE TO SCDOT PROPERTY
DESCRIPTION OF DAMAGE:
(PHOTOGRAPH OF THE DAMAGED PROPERTY IS ATTACHED).
DATE OF OCCURENCE: ! ROUTE: j DIRECTION: ! MILE MARKER:
I l
COSTS:
REPAIR COST=
LIQUIDATED DAMAGES=
TOTAL COST=
SCOOT EMPLOYEE (NAME I SIGNATURE I TITLE):
File details come from the government source that posted it. Updated .