Attachment E.pdf

PDF 96 KB Posted

Attached to
ON-CALL TREE REMOVAL ORANGEBURG COUNTY
Solicitation number
5400028679
Issued by
Pickens County, South Carolina

About this file

This document is a standard Notice of Damage to Property form from the South Carolina Department of Transportation (SCDOT). The form is designed to document and report instances of damage to SCDOT property, providing a structured template for recording detailed information about the incident. The form includes sections for identifying the contractor, contract number, contact information, and specific details about the damage occurrence.

The form captures critical information such as the date of occurrence, route, direction, mile marker, and a space for describing the damage, with a note indicating that a photograph of the damaged property should be attached. The document also includes fields for calculating costs, specifically separating repair costs and liquidated damages, with a section for totaling these expenses. A final section is provided for an SCDOT employee to document their name, signature, and title when reporting the damage, creating an official record of the property damage incident.

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Attachment F.pdf PDF
Attachment D.pdf PDF
5400028679.pdf PDF

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Text version

Attachment E – 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 .