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 PDF
Attachment D.pdf PDF
Attachment E.pdf PDF
Solicitation 5400030023.pdf PDF
Attachment G.pdf PDF
Attachment F.pdf 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 .