29-Attachment C - 46142490 4thAveSE Frontier URS 7Days 1Day 021125 Signed.pdf

Hillsborough County County Road:

CIP Number: 46142490 Project Name: 303 4th Ave SE

Utility Agency/Owner (UAO): FRONTIER FLORIDA LLC

NON-CONSTRUCTION ITEMS ESTIMATED CONSTRUCTION ITEMS

*CALENDAR DAYS

Total Preliminary 30

Prior to County Project Construction

During County Project Construction

As-Built Information

I Plans Dated: 8/19/2024

ESTIMATED

*CALENDAR DAYS

1 Total Material Procurement

Total Right-of-Way Acquisition

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: 813-838-8867

PAUL LINEBERRY

UAO Project Representative: RANDY JAMES Telephone Number:

U AO Field Representative: PAUL LINEBERRY Telephone Number:

813-892-9692 813-838-8867

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:

[8J No changes to forms document.

D Appendix "Changes to Forms Document" is attached. _Number of Attachment Pages.

Authorized Utility Agent:

(Signature)

RANDY JAMES

(Printed Name)

ENGINEER PUBLIC WORKS

(Title)

February 11, 2025 (Date)

Final Approval by Hillsborough County:

**Engineer of Record (EOR):

Digitally signed by Haylee C LaTorre Date: 2025.02.13 10:33:30-05'00'

(Signature)

HAYLEE LATORRE

(Printed Name)

EOR

(Title)

2/13/2025 (Date)

(Signature)

Sandra Gonzalez, P.E.

(Printed Name)

Acceptance by Hillsborough County:

(Signature)

Vanessa Hernandez (Printed Name)

Project Manager (Title)

(Date)

(Date)

Section Manager (Title)

Vanessa Hernandez Typewritten Text 02/18/2025