Attachment D.pdf
PDF 195 KB Posted
- Attached to
- ON-CALL GUARDRAIL SPARTANBURG
- Solicitation number
- 5400029927
- Issued by
- Spartanburg County, South Carolina
About this file
This is a Notice of Damage to South Carolina Department of Transportation (SCDOT) Property form used by contractors to report incidents involving damage to SCDOT infrastructure. The form serves as an official notification document within the on-call guardrail services contract for Spartanburg County and requires contractors to provide comprehensive incident details including the date of occurrence, specific location information (route, direction, and mile marker), and photographic documentation of the damaged property.
The form captures financial impact data by requiring contractors to itemize repair costs and any applicable liquidated damages, with a total cost calculation field. The notification must be submitted to the appropriate SCDOT office with contractor contact information and acknowledgment by an authorized SCDOT employee through signature and title. This standardized form facilitates communication and documentation of property damage incidents that may occur during the performance of guardrail maintenance and repair work under the on-call contract structure.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment F- Work Zone.pdf | ||
| Attachment G.pdf | ||
| AMENDMENT 1.pdf | ||
| SOLICITATION.pdf | ||
| Attachment E.pdf |
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Text version
Attachment D– 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 .