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 is a 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 designed to capture essential information about damage incidents, including contractor details (name, address, fax number), SCDOT office information (office location, address, phone number), and specific incident details such as the date of occurrence, route, direction, and mile marker where the damage occurred. The form also requires a description of the damage and indicates that photographic evidence should be attached.

The form includes a cost section that breaks down the financial impact of the damage, specifically itemizing repair costs and liquidated damages, with a field for the total cost calculation. The document must be completed by an SCDOT employee, requiring their name, signature, and title at the bottom of the form. This standardized form appears to be part of SCDOT's contractor management and property damage documentation process for the On-Call Tree Removal contract in Aiken County, South Carolina.

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Other files

File Type Posted
Appendix 4-Contractor.pdf PDF
Appendix 2 - Damage.pdf PDF
Appendix 3 - Non Comp.pdf PDF
Solicitation.pdf PDF
Solicitation.pdf PDF
Appendix 3 - Non Comp.pdf PDF
Appendix 4-Contractor.pdf PDF
Solicitation.pdf PDF
Appendix 3 - Non Comp.pdf PDF
Appendix 2 - Damage.pdf PDF
Appendix 4-Contractor.pdf 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 .