Attachment B.pdf
PDF 146 KB Posted
- Attached to
- CANADY BRANCH ROAD BRIDGE REPAIR
- Solicitation number
- 5400030023
- Issued by
- Richland County, South Carolina
About this file
This is a Notification of Damage to SCDOT Property form from the South Carolina Department of Transportation used to document and report damage to state transportation assets. The form serves as an official communication tool between contractors and SCDOT to formally record incidents of property damage, including detailed information about the location, date of occurrence, and nature of the damage. The document requires contractors to provide their contact information, specify the route and mile marker where damage occurred, and include photographic evidence of the damaged property.
The form itemizes costs associated with the damage, separating repair costs from liquidated damages and providing a total cost calculation. Completion of this notification form is accompanied by certification from an SCDOT employee who documents their name, signature, and title, establishing accountability and official recognition of the damage incident. This document appears to be part of the contractual framework for the Canady Branch Road Bridge Repair project in South Carolina, establishing a formal process for contractors to report and seek reimbursement or resolution for property damage claims that may occur during project execution.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment C.pdf | ||
| Attachment D.pdf | ||
| Attachment E.pdf | ||
| Solicitation 5400030023.pdf | ||
| Attachment G.pdf | ||
| Attachment F.pdf |
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Text version
Attachment B
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 .