Attachment E.pdf

Attachment E is a notification form issued by the South Carolina Department of Transportation (SCDOT) for documenting damage to SCDOT property. The form serves as an official record-keeping document designed to be completed by contractors and submitted to SCDOT when property damage occurs during contract performance. The form requires contractors to provide comprehensive information including their name, address, fax number, contract number, and detailed description of the damage with accompanying photographs. Key project details required include the date of occurrence, specific route information, direction, and mile marker location where the damage took place.

The form requires contractors to calculate and report associated costs, specifically breaking down repair costs and liquidated damages with a total cost summary. Documentation must be authenticated by an SCDOT employee who provides their name, signature, and title to verify the damage notification. This standardized form facilitates the tracking and resolution of property damage claims within the context of SCDOT contracts, including the related D6 Depth Patch Services 3-Year contract, enabling the department to maintain records and assess contractor accountability for damage incidents occurring during service delivery.