Appendix 2.pdf

PDF 348 KB Posted

Attached to
4 Year On Call Tree Removal Richland
Solicitation number
5400029602
Issued by
Richland County, South Carolina

About this file

This is a Notice of Damage to South Carolina Department of Transportation (SCDOT) Property form used to formally document and report damage incidents to SCDOT assets in connection with contractor activities. The form is designed to be completed by contractors working on SCDOT projects and submitted to the appropriate SCDOT office, capturing essential incident information including the date of occurrence, specific location details (route, direction, and mile marker), and photographic evidence of the damage. The form requires contractor identification information, SCDOT office contact details, and signature authorization from an SCDOT employee overseeing the incident report.

The form includes fields for calculating financial impacts associated with the damage, requiring documentation of repair costs and any applicable liquidated damages assessed against the contractor, with a total cost calculation section. This documentation mechanism serves as the official record for damage claims and cost recovery procedures within SCDOT contracts, enabling the department to track, monitor, and enforce accountability for property damage incidents occurring during contractor operations on state transportation projects such as the 4 Year On Call Tree Removal contract in Richland.

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Appendix 1.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: DIRECTION: MILE MARKER:

COSTS:

REPAIR COST =

LIQUIDATED DAMAGES =

TOTAL COST =

SCDOT EMPLOYEE (NAME / SIGNATURE / TITLE):

File details come from the government source that posted it. Updated .