19-Attachment C - COT Water UWS WUR-26-0036.pdf

Hillsborough County County Road: County Line Road Plans Dated: 05/18/2026

CIP Number: 69600319 Project Name: East County Line Road at Grand Hampton Drive [WUR-26-0036]

Utility Agency/Owner (UAO): City of Tampa—Water Department

NON-CONSTRUCTION ITEMS

ESTIMATED

*CALENDAR DAYS

CONSTRUCTION ITEMS

ESTIMATED

*CALENDAR DAYS

Total Preliminary 0 Prior to County Project Construction 0

Total Material Procurement 0 During County Project Construction 0

Total Right-of-Way Acquisition 0 As-Built Information ______0______

Total Other 0 * Calendar Days = UAO Work Days x 7/5 and takes into consideration simultaneous activities listed on Part “C” of this Schedule

This document has been developed as the method for a Utility Agency/Owner (UAO) to transmit to Hillsborough County, the roadway contractor, and other right-of-way users, the location, relocation, adjustment, installation, and/or protection of facilities, on this Hillsborough County project. The following data is based on the plans dated as listed in the Title Block.

Any deviation by Hillsborough County or its Contractor from plans, as provided may render this work schedule null and void.

Upon notification by, Hillsborough County of such change, this utility may require additional days for assessment and negotiation of a new work schedule. This UAO is not responsible for events beyond the control of the UAO that could not reasonably be anticipated by the UAO and which could not be avoided by the UAO with the exercise of due diligence at the time of the occurrence. The UAO agrees to notify Hillsborough County in writing prior to starting, stopping, resuming, or completing work. The UAO is to provide As-Built information.

The UAO shall obtain a utility permit and comply with the requirements of the Hillsborough County UAM.

During the project, the UAO shall locate their facilities within 48 hours of notice to their Representative: KCI _ Telephone Number: 813-740-2300 Ext- 2960

UAO Project Representative: Benjamin Freamon Telephone Number: 813-274-3301

UAO Field Representative: Telephone Number:

This document is a printout of a Hillsborough County form maintained in an electronic format and all revisions thereto by the UAO in the form of additions, deletions or substitutions are reflected only in an Appendix entitled “Changes to Form Document” and no change is made in the text of the document itself. Hand notations on affected portions of this document may refer to changes reflected in the above-named Appendix but are for reference purposes only and do not change the terms of the document. By signing this document, the UAO hereby represents that no change has been made to the text of this document except through the terms of the Appendix entitled “Changes to Form Document”.

You MUST signify by selecting or checking which of the following applies:

No changes to forms document.

Appendix “Changes to Forms Document” is attached. Number of Attachment Pages.

Authorized Utility Agent: **Engineer of Record (EOR): Acceptance by Hillsborough

County:

(Signature) (Signature) (Signature)

Benjamin Freamon

Jorge A. Guerra Rodriguez, PE

Steffanie Workman, PE

(Printed Name) (Printed Name) (Printed Name)

Engineer Technician III

Engineer of Record

County Design Project Manager

(Title) (Title) (Title)

5/18/2026

(Date) (Date) (Date)

Final Approval by Hillsborough County:

(Signature) (Date)

Lisa Strout Capital Utility Coordinator (Printed Name) (Title)

(**When requested by the County, the EOR will attest to compatibility of plans, specifications and Utility Work Schedule)

6/22/2026

WorkmanS Text Box 06/22/26

Special Conditions and Constraints

1. City of Tampa Water requests (via e-mail to WaterUtilityCoordination@TampaGOV.net) a copy of the approved contractors CPM (Critical Path method) schedule is requested within 5 days of FDOT approval.

2. In the event of a general water emergency, contact the City of Tampa Water Department's 24-hour emergency number at:

(813) 274-7400 and WaterDistributionScheduling@TampaGov.net

3. Adjustments to valve boxes, required due to resurfaced roadway adjacent to those boxes, will be made as follows:

a) Material Lead Time: The City of Tampa will need 1.5 weeks (8 working days) notification PRIOR to work at the location of the water meter boxes, valve boxes, tops, and or risers. Such notification may occur during the project construction meetings, but all requests must be presented in writing for record keeping purposes. E-mail to WaterUtilityCoordination@TampaGOV.net is preferred.

b) If there is a case where any of the items listed above is damaged and material is requested, (see Material Lead Time above) the City can provide the required items at:

3901 E. 26th Ave, Tampa Florida 33605 **Delivery can be coordinated, but a specific DATE must be provided.**

c) All material acquisition requests for the City originating from the Hillsborough County contractor will be directed to the City of Tampa Water Department Field contact. When different, the UAO Project Rep will be carbon copied (CC) on all project related correspondence.

d) After resurfacing operations have been completed, FDOT or its Contractor will ensure all Water valve boxes, meter box lids, hydrants, and all other City of Tampa maintained appurtenances are left in a condition allowing easy operation and access for maintenance. City of Tampa appurtenances will not be paved over, unadjusted, or left in any state where maintenance would be considered unduly difficult or hampered.

e) For the sake of coordination with the City of Tampa Water (and project progression in a reasonable manner) to perform any adjustment to City of Tampa Water infrastructure, the Contractor must stake the final concrete elevation per each relocation instance. The City of Tampa requests notification 5 work days before such work is necessary via e-mail, or following the weekly construction meeting.

4. "Stations" and "offsets" provided in Section C will be understood to be referenced from the project Hillsborough County surveyed construction baseline (Baseline of Construction), as identified in the associated dated HC project plans.

5. City of Tampa Black-out Dates: During these dates, the City of Tampa cannot perform water shutdowns (and work is limited):

11/18/2026 – 11/28/2026 & 12/16/2026 – 1/3/2027

C. Disposition of Facilities (List All Existing & Proposed) on Project

TYPE / SIZE /

MATERIAL / OFFSET

TO BASELINE FROM

STA TO STA

DESCRIPTION

OF

UTILITY WORK

DEPENDENT

ACTIVITIES

M.O.T.

PHASE

NUMBER

CONSECUTIVE

CALENDAR

DAYS

Prior During No utility work required.