Hillsborough County County Road: N/A Plans Dated: MAY 19 2025

CIP Number: 69600.102 B Project Name: Himes Ave at Waters Ave- Intersection Improvements Utility Agency/Owner (UAO): TECO PGS

NON-CONSTRUCTION ITEMS

ESTIMATED

*CALENDAR DAYS

CONSTRUCTION ITEMS

ESTIMATED

*CALENDAR DAYS

Total Preliminary Prior to County Project Construction 10 Total Material Procurement 30 During County Project Construction 4 Total Right-of-Way Acquisition As-Built Information _____________ Total Other * 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: _ Telephone Number: - UAO Project Representative: Jenna Jackson Telephone Number: 813-917-9446 UAO Field Representative: Javy Vazquez Telephone Number: 813-426-6115 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) Jenna Jackson Steven L. Wallace P.E. Steffanie Workman, P.E.

(Printed Name) (Printed Name) (Printed Name) Gas Design Project Manager Engineer of Record County Project Manager

(Title) (Title) (Title) 6/16/25

(Date) (Date) (Date)

Final Approval by Hillsborough County:

(Signature) (Date)

Sandra Gonzalez, P.E. Section Manager (Printed Name) (Title)

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

10/13/25

Pavan Paiavula, PE

Lisa Strout Capital Utility Coordinator

Special Conditions and Constraints

1. THE TECO PEOPLES GAS 24-HOUR EMERGENCY NUMBER 1-877 TECO PGS (1-877-832-6747).

2. TECO PEOPLES GAS CREW AVAILABILITY MAY BE AFFECTED OR LIMITED DUE TO OUR REQUIRED RESPONSE TO EMERGENCY CONDITIONS ELSEWHERE. THIS LIMITATION WILL BE DEPENDENT UPON THE SEVERITY AND LOCATION OF THE

EMERGENCY.

3. TECO PEOPLES GAS EMPLOYEES AND SUBCONTRACTORS NORMAL WORK SCHEDULE IS MONDAY THROUGH FRIDAY FROM 8 A.M. TO 5 P.M., EXCLUDING TECO PEOPLES GAS OBSERVED HOLIDAY'S (NEW YEARS DAY, GOOD FRIDAY, MEMORIAL DAY, JULY 4TH, LABOR DAY, THANKSGIVING DAY, THE FRIDAY AFTER THANKSGIVING DAY, CHRISTMAS EVE DAY AND CHRISTMAS DAY). ANY TECO PEOPLES GAS ASSISTANCE REQUESTED FROM THE FDOT, THEIR CONTRACTOR OR SUBCONTRACTOR OUTSIDE OF THESE NORMAL WORKING HOURS MUST BE SCHEDULED 72 HOURS IN ADVANCE. TECO PEOPLES GAS REQUIRES VERIFICATION THAT THE CREWS ARE STILL NEEDED ON THE ACTUAL WORKDAY (MONDAY THROUGH FRIDAY) THAT HAD PREVIOUSLY BEEN REQUESTED OR THE LAST BUSINESS DAY BEFORE THE REQUESTED

WEEKEND OR HOLIDAY.

4. A COPY OF THE APPROVED CONTRACTOR’S CPM (CRITICAL PATH METHOD) IS REQUESTED WITHIN 5 DAYS OF APPROVAL.

5. TECO/PEOPLES GAS MAY GROUT FILL AND RETIRE GAS MAINS THAT ARE UNDER PAVED ROADWAYS AND DRIVEWAYS AS

AN ALTERNATIVE TO REMOVING THEM.

6. AN 18” SEPARATION CLEARANCE MUST BE MAINTAINED WITH ALL EXISTING TECO/PEOPLE GAS MAINS / FACILITIES.

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

EXISTING 2” CS GM

STA. 18+33, 36’ RT

To be removed or grout filled in place

Installation of new 2” CS GM Phase I 0 2

EXISTING 2” CS GM

STA. 18+52, 37’ RT

To be removed or grout filled in place

Installation of new 2” CS GM Phase I 0 2

PROPOSED 2” CS

GM

STA. 18+ 33, 36’ RT

To be installed Staking of the mast arm N/A 5 0

PROPOSED 2” CS

GM

STA. 18+52, 37’ RT

To be installed Staking of the mast arm N/A 5 0