Attachment A.pdf

This is a notification form used by the South Carolina Department of Transportation (SCDOT) to document damage to SCDOT property. The form serves as an official record for contractors to report incidents involving property damage, with designated fields for contractor identification, contact information, and SCDOT office details. The document captures essential incident information including the date of occurrence, location specifics (route, direction, and mile marker), and photographic documentation of the damaged property. The form requires documentation of associated costs, separated into repair costs and liquidated damages, with a total cost calculation section and signature authorization from the responsible SCDOT employee.

This form functions as a damage notification and cost assessment tool within the framework of the On Call Tree Removal contract for Dorchester County, South Carolina. It establishes a standardized procedure for recording property damage incidents, ensuring clear communication between contractors and SCDOT regarding damages incurred during service delivery. The form does not specify pricing terms, funding amounts, or contract renewal options but serves as a critical administrative document for tracking liability and repair expenses related to contracted services.