Attachment D.pdf

This is a Damage Claim Form for third-party claims related to the South Carolina RE-BID *D6 Depth Patch Services 3-Year contract opportunity. The form serves as the official documentation mechanism for contractors to report and claim compensation for damages incurred during the performance of depth patch services under this three-year service contract. The form is designed to standardize the claims process and ensure that all necessary information is captured regarding incidents, damage assessments, and associated costs, allowing for systematic evaluation and resolution of third-party damage claims throughout the contract term.

The form establishes procedures for claimants to document damages, including sections for incident details, photographic evidence, repair cost estimates, and supporting documentation. By utilizing this standardized claim form, the South Carolina state entity administering the depth patch services contract can maintain organized records, facilitate timely claim processing, and ensure consistent application of damage assessment criteria across all third-party claims submitted during the contract performance period.