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 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 structured to capture essential information including the contractor's details (name, address, fax number), contract number, and SCDOT office information. The form requires documentation of damage description, date of occurrence, route, direction, and mile marker where the damage occurred, with a note indicating that photographs of the damaged property should be attached.
The form includes a cost section that breaks down the financial impact into repair costs and liquidated damages, with a total cost field for the sum. The document must be completed by an SCDOT employee who must provide 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 reporting process.
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Other files
| File | Type | Posted |
|---|---|---|
| Appendix 4-Contractor.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 2 - Damage.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 .