Attachment G, Property Damage Notice Email Template.pdf

Attachment G, Property Damage Notice Email Template

RFO No. HHS0017021 Attachment G

Attachment G, Property Damage Notice Email Template

Subject: Property Damage Notice

To: <HHSC Contract Manager / Designated HHSC Email>

Cc: <HHSC Property Management / Security (if applicable)>

Hello, Pursuant to Contract requirement SC-09, this email serves as a formal written notice to HHSC of property loss, destruction, or damage associated with Managed Services staffing.

Incident Details

• Date of Loss/Destruction/Damage: <MM/DD/YYYY>

• Time (if known): <Time and Time Zone>

• Location: <Facility / Site>

• HHSC Property Affected: <Description of property>

• Asset Tag / Identifier (if applicable): <ID>

• Nature of Incident: ☐ Loss ☐ Destruction ☐ Damage

• Brief Description of Incident:

<Concise factual description>

Staff Involved (if applicable)

• Managed Service Staff Name: <Name>

• Role / Position: <Title>

This notification is provided within one (1) Business Day of the identified loss, destruction, or damage, in compliance with Contract HHS0017021.

Upon receipt of HHSC’s determination of the amount due, the Contractor acknowledges that reimbursement will be made within ten (10) Calendar Days of notice of the amount due, as required by the Contract.

Please advise if additional information or documentation is required.

Thank you, RFO No. HHS0017021 Attachment G

<Name>

<Title>

<Contractor Name>

<Email>

<Phone>