Amendment 0002 - South-Atlantic IDIQ RFP 693C73-26-R-000007.pdf

(x)

693C7326R000007 x x

1 copies of the amendment; (b) By acknowledging receipt of this amendment on each copy of the offer submitted ; or (c) By separate letter or electronic communication which includes a reference to the solicitation and amendment numbers. FAILURE OF YOUR ACKNOWLEDGEMENT TO BE

RECEIVED AT THE PLACE DESIGNATED FOR THE RECEIPT OF OFFERS PRIOR TO THE HOUR AND DATE SPECIFIED MAY RESULT IN REJECTION OF YOUR

OFFER. If by virtue of this amendment you desire to change an offer already submitted , such change may be made by letter or electronic communication, provided each letter or electronic communication makes reference to the solicitation and this amendment, and is received prior to the opening hour and date specified.

x

ASHBURN VA 20147

ATTN: Acquisitions

693C73

SUITE E2-3-300

QUANTUM PARK, 22001 LOUDOUN COUNTY PKWY

EASTERN FEDERAL LANDS HIGHWAY DIVISION

FEDERAL HIGHWAY ADMINISTRATION

See Block 1412/15/20250002

13. THIS ITEM ONLY APPLIES TO MODIFICATION OF CONTRACTS/ORDERS. IT MODIFIES THE CONTRACT/ORDER NO. AS DESCRIBED IN ITEM 14.

12. ACCOUNTING AND APPROPRIATION DATA (If required) is not extended.is extended, Items 8 and 15, and returning

Offers must acknowledge receipt of this amendment prior to the hour and date specified in the solicitation or as amended , by one of the following methods: (a) By completing

The above numbered solicitation is amended as set forth in Item 14. The hour and date specified for receipt of Offers

11. THIS ITEM ONLY APPLIES TO AMENDMENTS OF SOLICITATIONS

FACILITY CODE CODE

10B. DATED (SEE ITEM 13)

10A. MODIFICATION OF CONTRACT/ORDER NO.

9B. DATED (SEE ITEM 11)

9A. AMENDMENT OF SOLICITATION NO.

CODE

8. NAME AND ADDRESS OF CONTRACTOR (No., street, county, State and ZIP Code)

7. ADMINISTERED BY (If other than Item 6)CODE 6. ISSUED BY

PAGE OF PAGES

4. REQUISITION/PURCHASE REQ. NO.3. EFFECTIVE DATE2. AMENDMENT/MODIFICATION NO. 5. PROJECT NO. (If applicable)

1. CONTRACT ID CODE

AMENDMENT OF SOLICITATION/MODIFICATION OF CONTRACT

11/17/2025

CHECK ONE A. THIS CHANGE ORDER IS ISSUED PURSUANT TO: (Specify authority) THE CHANGES SET FORTH IN ITEM 14 ARE MADE IN THE CONTRACT

B. THE ABOVE NUMBERED CONTRACT/ORDER IS MODIFIED TO REFLECT THE ADMINISTRATIVE CHANGES (such as changes in paying office, C. THIS SUPPLEMENTAL AGREEMENT IS ENTERED INTO PURSUANT TO AUTHORITY OF:

D. OTHER (Specify type of modification and authority) appropriation data, etc.) SET FORTH IN ITEM 14, PURSUANT TO THE AUTHORITY OF FAR 43.103(b).

E. IMPORTANT: Contractor is not is required to sign this document and return __________________ copies to the issuing office.

ORDER NO. IN ITEM 10A.

14. DESCRIPTION OF AMENDMENT/MODIFICATION (Organized by UCF section headings, including solicitation/contract subject matter where feasible.)

South-Atlantic Region Construction MATOC

The purpose of this Amendment is to:

1) Provide a summary of responses to questions/clarifications asked by interested offerors.

2) Revise Attachment 6 - J-Pages - SCRs for Seed Project as follows:

a) Revise Section 107 to add railroad permit requirements.

b) Delete Section 637.

3) Replace Attachment 5 - B Pages - NP SER PMS FY25(1), to delete bid item A1200 63701-000, Continued ...

16A. NAME AND TITLE OF CONTRACTING OFFICER (Type or print)15A. NAME AND TITLE OF SIGNER (Type or print)

15C. DATE SIGNED 16B. UNITED STATES OF AMERICA 15B. CONTRACTOR/OFFEROR 16C. DATE SIGNED

(Signature of person authorized to sign) (Signature of Contracting Officer)

STANDARD FORM 30 (REV. 11/2016)

Prescribed by GSA FAR (48 CFR) 53.243

Previous edition unusable

Except as provided herein, all terms and conditions of the document referenced in Item 9 A or 10A, as heretofore changed, remains unchanged and in full force and effect .

ITEM NO. SUPPLIES/SERVICES QUANTITY UNIT UNIT PRICE AMOUNT

NAME OF OFFEROR OR CONTRACTOR

2 34

CONTINUATION SHEET

REFERENCE NO. OF DOCUMENT BEING CONTINUED PAGE OF

(A) (B) (C) (D) (E) (F)

693C7326R000007/0002

FIELD OFFICE.

4) Provide revised plan sheet C01 for Attachment

7 - Plans for Seed Project, to update the

Tabulation of Quantities sheet for Schedule A to delete bid item A1200 63701-000, FIELD OFFICE.

5) Provide the Norfolk Southern Railway Company

Non-Environmental 30 Days or Less Right of Entry

Instructions & Guides for the railroad right-of-way entry permit.

The proposal due date has been rescheduled to

Tuesday, December 23, 2025, at 2:00 p.m. EST.

NSN 7540-01-152-8067 OPTIONAL FORM 336 (4-86)

Sponsored by GSA

FAR (48 CFR) 53.110

Amendment No. 0002

Amendment Info

U.S. DEPARTMENT OF TRANSPORTATION

FEDERAL HIGHWAY ADMINISTRATION

EASTERN FEDERAL LANDS HIGHWAY DIVISION

South-Atlantic Region Construction MATOC

Request for Proposal: 693C73-26-R-000007

The purpose of this Amendment is to:

1) Provide a summary of responses to questions/clarifications asked by interested offerors.

2) Revise Attachment 6 - J-Pages - SCRs for Seed Project as follows:

a) Revise Section 107 to add railroad permit requirements.

b) Delete Section 637.

3) Replace Attachment 5 – B Pages - NP SER PMS FY25(1), to delete bid item A1200

63701-000, FIELD OFFICE.

4) Provide revised plan sheet C01 for Attachment 7 – Plans for Seed Project, to update the

Tabulation of Quantities sheet for Schedule A to delete bid item A1200 63701-000, FIELD OFFICE.

5) Provide the Norfolk Southern Railway Company Non-Environmental 30 Days or Less

Right of Entry Instructions & Guides for the railroad right-of-way entry permit.

The proposal due date has been rescheduled to Tuesday, December 23, 2025, at 2:00 p.m. EST.

Questions/Clarifications

1. Question: Do the Superintendent, SSHO and QC Manager need to be 3 separate individuals?

Response: No, the Superintendent can serve as a SSHO. QCM with no responsibilities other than managing quality control. Follow FP-24 Section 153.

2. Question: Can the period of performance be extended after award once the material/equipment lead times are confirmed due to current market conditions for the equipment for this project?

Response: Follow Subsection 108.04 of the FP-24 and Special Contract Requirements (J

Pages).

3. Question: Please provide the site visit registration list.

Response: No formal site visit will be scheduled/required. See page L-8 of the RFP for site visit point of contact information. Questions can be submitted to

EFLHD.Contracts@dot.gov.

4. Question: Are soil boring reports available? If not, it will be assumed that excavation will be clear of rocks and obstructions.

Response: No boring info is required/provided since no deep excavation is anticipated.

5. Question: Please confirm the manufacturer of the existing roofing system and who carries the current warranty of the roofing system.

Response: There is no indication of existing roofing system within the scope of bridge work.

6. Question: Is there a bulk water fill i.e. a hydrant or water source we can pump from for grading operations in close proximity?

Response: There are several parks and sites so, no specific info is provided. Bidder can visit project sites for this specific information.

7. Question: Please confirm whether asbestos or lead is present on this project, and if so, provide the relevant documentation.

Response: We do not have documentation confirming the presence of asbestos or lead within the existing structure’s materials. It is the contractor’s responsibility to field-verify existing conditions prior to the commencement of work. Please refer to Section 203 in the

FP-24 for additional information.

8. Question: Does this project require phasing?

Response: Yes, project is divided in multiple schedules by park and work will be performed at each park in sequence. Construction schedule submission is required after pre-construction meeting for CO’s approval.

9. Question: Is this project tax exempt?

Response: Per FAR 52.229-3(b)(1) as incorporated by refence in Section I – Federal

Acquisition Regulation Contract Clauses, the contract price includes all applicable

Federal, State, and local taxes and duties, except as provided in subparagraph (b)(2)(i) of this clause.

10. Question: When do you anticipate on site work starting?

Response: Determined at the pre-construction meeting after the project award.

11. Question: Are third party inspections required?

Response: No. Refer to FP-24, Section 106 for inspection and testing requirements.

12. Question: Is permitting required?

Response: No ENV permits are required. See Special Contract Requirement (J Pages) changes and the included Norfolk Southern Railway Company Non-Environmental 30

Days or Less Right of Entry Instructions & Guides for information on railroad permitting requirements.

13. Question: Is any landscaping restoration required for this project? For example, topsoil, seeding, and fertilizer.

Response: No landscaping restoration is required for this project.

14. Question: Please provide staking data points for the project.

Response: The GPS coordinates for the beginning and ending points of the project roadways, and for the beginning points of parking areas, are shown on sheet A11 of the plans. No other survey data will be provided.

15. Question: Are red, yellow, and blue tops required?

Response: No red, yellow, or blue tops are required.

16. Question: Which pay item(s) are measured for payment using Pay Factors on this project?

Response: The Acceptance subsection of each Section states how the work will be accepted. Work that is accepted under Subsection 106.05 is subject to statistical acceptance.

17. Question: Are the pay factors, (if any) based on statistical evaluation to determine the

Pay Within Limits (PWL) for this project?

Response: Pay factors are determined according to Subsection 106.05.

18. Question: Can the FHWA confirm the testing characteristics that are considered for the statistical analysis/PWL pay items

Response: Refer to FP-24 Subsections 154.04 and 154.05.

19. Question: Please confirm the Pay Factor reduction tables to be referenced on this project

Response: Pay factor tables are provided in Subsection 106.05.

20. Question: If it is determined that the proposed gradation values do not align with materials commonly used locally for highway construction and maintenance by Federal or state agencies, would FHWA eliminate the pay-factor requirement?

Response: Refer to FP-24 Subsections 106.05 and 154.05.

21. Question: If the proposed gradation values are found to differ from materials typically used locally for highway construction and maintenance by Federal or state agencies, would FHWA consider using a state DOT’s gradation instead?

Response: Yes, Contractor can submit a GADOT or ALDOT mixture but must meet FP requirement for either 418 or 404. See Subsection 404.03(a), the Contractor may use

Type I or Type II Thin Lift Asphalt Concrete Pavement.

22. Question: Is the contractor responsible for any additional railroad permitting?

Response: FHWA will obtain the railroad permit. See Special Contract Requirement (J

Pages) changes and the included Norfolk Southern Railway Company Non-

Environmental 30 Days or Less Right of Entry Instructions & Guides for the contractor’s responsibility to provide track protection details, work duration, and required insurance.

23. Question: Is the contractor required to carry any additional insurances for working around the railroad?

Response: Yes. See Special Contract Requirement (J Pages) changes and the included

Norfolk Southern Railway Company Non-Environmental 30 Days or Less Right of Entry

Instructions & Guides for information on railroad permitting requirements.

24. Question: With the field office to be located 15 miles of the site and with sites located in several locations, is the contractor required to move the field office once placed?

Response: The field office requirement has been removed. See Special Contract

Requirements (J Pages) changes and B Page changes.

25. Question: Where should we account for additional field office duration on each option?

26. Question: Is power available nearby the field office location or will a generator suffice?

27. Question: Can we shut down roadway access or do we need to maintain one lane for travel?

Response: Traffic control requirements and limitations on the Contractor’s operations are provided in FP-24 Section 156 and in the Traffic Control Plan on sheets N01 and N02 of the plans.

28. Question: What are the limitations for construction intervals (for proposed road work)?

Response: Traffic control requirements and limitations on the Contractor’s operations are provided in FP-24 Section 156 and in the Traffic Control Plan on sheets N01 and N02 of the plans.

29. Question: For the pricing lines to account for milling the additional info states "variable depth" - can you provide an average thickness to assume?

Response: The intent of the variable depth milling is shown on Sheet B04 of the plans.

No additional information will be provided.

30. Question: Please further define the Survey and staking required for schedule I - Is this to survey the damages on the bridge?

Response: The survey and staking work will conform to FP-24 Subsection 152.01. The

Contractor is responsible for determining which of their activities would be covered by this pay item.

31. Question: Please further define the contractor testing required for schedule I - Is this to test the concrete required to repair the bridge?

Response: The Sampling, Testing, and Acceptance Requirements for the materials used in the concrete repairs are provided in FP-24 Table 572-7. The Contractor is responsible for determining which specific tests are required for the proposed work.

Special Contract Requirements (J Pages) Changes

Add the following to Section 107, page J-5, of Attachment 6 - J-Pages - SCRs for Seed Project:

107.04. Add the following:

The Government will acquire a Norfolk Southern (NS) Non-environmental 30 Days or Less

Right of Entry Permit before the beginning of construction within OCMU. Provide the following information before the preconstruction conference:

• List of equipment that will use the NS Clinton Street railroad crossing;

• Number of days requiring access on the NS Clinton Street railroad crossing (not to exceed

30 days);

• Size of construction crew; and

• Railroad crossing protection details.

Document the condition of the existing railroad facilities within the project limits before beginning construction as directed by the CO, using a combination of photographs and survey measurements. Take a sufficient number of high-resolution color digital photographs of the railroad facilities designated by the CO to adequately record their condition. Provide electronic copies of the photographs to the CO and NS. These photographs will be used to verify that the railroad facilities are not damaged during construction, or to establish the extent of any damage. If the construction damages NS property, reimburse the NS for damages, or at the option of NS, repair the damage at no cost to the Government.

Do not cross the Clinton Street at-grade crossing with vehicles or equipment without prior approval by NS. Coordinate hauling schedules with NS to ensure there are no interruptions due to trains blocking the Clinton Street crossing. Notify NS in writing at least 10 days before beginning any work within 25 feet of the NS right-of-way.

The NS and their authorized representatives shall have final authority in all matters affecting the safe maintenance of railroad traffic, including the adequacy of the foundations and structures supporting the railroad tracks.

107.05. Add the following:

Procure insurance of the types and limits specified in the right of entry agreement. Maintain the insurance until final acceptance of the contract. Obtain written approval from NS of the Railroad

Protective Liability Insurance coverage before beginning work within the NS right-of-way.

Delete Section 637, pages J-21 to J-24, of Attachment 6 - J-Pages - SCRs for Seed Project.

Proposal Schedule (B Pages) Changes

Delete Attachment 5 - B Pages - NP SER PMS FY25(1) and replace with the included Bid

Schedule pages B-1 through B-13.

Plan Sheet Changes

1. Delete Plan Sheet C01 and substitute amended Plan Sheet C01 of Attachment 7 - Plans

Sheets for Seed Project.

BID SCHEDULE

Source Selection Information – See FAR 2.101 and 3.104

Project No : NP SER PMS FY25(1) Schedule : A

Project Name : Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

Schedule Type : Base

Contract Quantity Pay Items

No Contract Quantity Pay Items

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

A1000 15101-0000 MOBILIZATION ALL LPSM

A1010 15201-0000

CONSTRUCTION

SURVEY AND

STAKING

ALL LPSM

A1020 15401-0000 CONTRACTOR

TESTING ALL LPSM

A1030 15705-1400

SOIL EROSION

CONTROL, FIBER

ROLL

50.000 LNFT

A1040 20301-2400 REMOVAL OF SIGN 3.000 EACH

A1050 20301-3900

REMOVAL OF

PAVEMENT

MARKINGS, SYMBOLS

AND WORDS

12.000 EACH

A1060 20302-2600

REMOVAL OF

PAVEMENT

MARKINGS

23,000.000 LNFT

A1070 40401-0000

THIN LIFT ASPHALT

CONCRETE

PAVEMENT

1,220.000 TON

A1090 40702-0300 CHIP SEAL, TYPE 1C 3,250.000 SQYD

A1100 41201-0000 TACK COAT 24.000 TON

A1110 41301-0000 ASPHALT PAVEMENT

MILLING

(VARIABLE DEPTH

TRANSITION MILLING) 1,850.000 SQYD

A1120 41401-2000 CRACKS, CLEANING

AND SEALING 2,300.000 LNFT

A1130 41801-2000

ASPHALT CONCRETE

PAVEMENT PATCH,

TYPE 2

8.000 SQYD

A1140 63304-0900

SIGNS, ALUMINUM

PANELS, TYPE 3

SHEETING

13.000 SQFT

A1150 63401-1500

PAVEMENT

MARKINGS, TYPE H,

SOLID

23,000.000 LNFT

A1160 63405-2950

PAVEMENT

MARKINGS, TYPE H,

STRAIGHT ARROW

1.000 EACH

A1170 63405-3000

PAVEMENT

MARKINGS, TYPE H,

STRAIGHT/TURN

ARROW

COMBINATION

1.000 EACH

A1180 63405-3250

PAVEMENT

MARKINGS, TYPE H,

ACCESSIBILITY

SYMBOL

10.000 EACH

A1190 63501-0000 TEMPORARY TRAFFIC

CONTROL ALL LPSM

A1200 63701-0000 FIELD OFFICE 1.000 EACH

B-1Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

A002

Submitted By: Schedule Total:

B-2Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

Project No : NP SER PMS FY25(1) Schedule : B

Project Name : Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

Schedule Type : Option

Contract Quantity Pay Items

No Contract Quantity Pay Items

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

B1000 15101-0000 MOBILIZATION ALL LPSM

B1010 15201-0000

CONSTRUCTION

SURVEY AND

STAKING

ALL LPSM

B1020 15401-0000 CONTRACTOR

TESTING ALL LPSM

B1030 15705-1400

SOIL EROSION

CONTROL, FIBER

ROLL

50.000 LNFT

B1040 40401-0000

THIN LIFT ASPHALT

CONCRETE

PAVEMENT

50.000 TON

B1050 41201-0000 TACK COAT 2.000 TON

B1060 41301-0000 ASPHALT PAVEMENT

MILLING

(VARIABLE DEPTH

TRANSITION MILLING) 380.000 SQYD

B1070 63501-0000 TEMPORARY TRAFFIC

CONTROL ALL LPSM

Submitted By: Schedule Total:

B-3Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and

Project No : NP SER PMS FY25(1) Schedule : C

Project Name : Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

Schedule Type : Option

Contract Quantity Pay Items

No Contract Quantity Pay Items

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

C1000 15101-0000 MOBILIZATION ALL LPSM

C1010 15201-0000

CONSTRUCTION

SURVEY AND

STAKING

ALL LPSM

C1020 15401-0000 CONTRACTOR

TESTING ALL LPSM

C1030 15705-1400

SOIL EROSION

CONTROL, FIBER

ROLL

50.000 LNFT

C1040 20301-3420 REMOVAL OF SPEED

HUMP 32.000 EACH

C1050 20301-3900

REMOVAL OF

PAVEMENT

MARKINGS, SYMBOLS

AND WORDS

48.000 EACH

C1060 20302-2600

REMOVAL OF

PAVEMENT

MARKINGS

5,800.000 LNFT

C1070 40401-0000

THIN LIFT ASPHALT

CONCRETE

PAVEMENT

670.000 TON

C1090 41201-0000 TACK COAT 14.000 TON

C1100 41301-0000 ASPHALT PAVEMENT

MILLING

(VARIABLE DEPTH

TRANSITION MILLING) 3,450.000 SQYD

C1110 41401-2000 CRACKS, CLEANING

AND SEALING 440.000 LNFT

C1120 63401-1500

PAVEMENT

MARKINGS, TYPE H,

SOLID

5,800.000 LNFT

C1130 63405-2950

PAVEMENT

MARKINGS, TYPE H,

STRAIGHT ARROW

40.000 EACH

C1140 63405-3250

PAVEMENT

MARKINGS, TYPE H,

ACCESSIBILITY

SYMBOL

8.000 EACH

C1150 63501-0000 TEMPORARY TRAFFIC

CONTROL ALL LPSM

Submitted By: Schedule Total:

B-4Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and

Project No : NP SER PMS FY25(1) Schedule : D

Project Name : Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

Schedule Type : Option

Contract Quantity Pay Items

No Contract Quantity Pay Items

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

D1000 15101-0000 MOBILIZATION ALL LPSM

D1010 15201-0000

CONSTRUCTION

SURVEY AND

STAKING

ALL LPSM

D1020 15401-0000 CONTRACTOR

TESTING ALL LPSM

D1030 15705-1400

SOIL EROSION

CONTROL, FIBER

ROLL

50.000 LNFT

D1040 20301-2400 REMOVAL OF SIGN 2.000 EACH

D1050 40401-0000

THIN LIFT ASPHALT

CONCRETE

PAVEMENT

18.000 TON

D1060 41201-0000 TACK COAT 2.000 TON

D1070 41301-0000 ASPHALT PAVEMENT

MILLING

(VARIABLE DEPTH

TRANSITION MILLING) 32.000 SQYD

D1080 41401-2000 CRACKS, CLEANING

AND SEALING 55.000 LNFT

D1090 63401-1500

PAVEMENT

MARKINGS, TYPE H,

SOLID

60.000 LNFT

D1100 63501-0000 TEMPORARY TRAFFIC

CONTROL ALL LPSM

Submitted By: Schedule Total:

B-5Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and

Project No : NP SER PMS FY25(1) Schedule : E

Project Name : Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

Schedule Type : Option

Contract Quantity Pay Items

No Contract Quantity Pay Items

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

E1000 15101-0000 MOBILIZATION ALL LPSM

E1010 15201-0000

CONSTRUCTION

SURVEY AND

STAKING

ALL LPSM

E1020 15401-0000 CONTRACTOR

TESTING ALL LPSM

E1030 15705-1400

SOIL EROSION

CONTROL, FIBER

ROLL

50.000 LNFT

E1040 20301-2400 REMOVAL OF SIGN 13.000 EACH

E1050 20301-3900

REMOVAL OF

PAVEMENT

MARKINGS, SYMBOLS

AND WORDS

3.000 EACH

E1060 20302-2600

REMOVAL OF

PAVEMENT

MARKINGS

650.000 LNFT

E1070 40401-0000

THIN LIFT ASPHALT

CONCRETE

PAVEMENT

230.000 TON

E1080 40702-0300 CHIP SEAL, TYPE 1C 3,400.000 SQYD

E1090 41201-0000 TACK COAT 4.000 TON

E1100 41301-0000 ASPHALT PAVEMENT

MILLING

(VARIABLE DEPTH

TRANSITION MILLING) 550.000 SQYD

E1110 41401-2000 CRACKS, CLEANING

AND SEALING 415.000 LNFT

E1120 60920-0000 RESET WHEELSTOP 5.000 EACH

E1130 63304-0900

SIGNS, ALUMINUM

PANELS, TYPE 3

SHEETING

4.000 SQFT

E1140 63401-1500

PAVEMENT

MARKINGS, TYPE H,

SOLID

650.000 LNFT

E1150 63405-3250

PAVEMENT

MARKINGS, TYPE H,

ACCESSIBILITY

SYMBOL

3.000 EACH

E1160 63501-0000 TEMPORARY TRAFFIC

CONTROL ALL LPSM

Submitted By: Schedule Total:

B-6Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and

Project No : NP SER PMS FY25(1) Schedule : F

Project Name : Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

Schedule Type : Option

Contract Quantity Pay Items

No Contract Quantity Pay Items

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

F1000 15101-0000 MOBILIZATION ALL LPSM

F1010 15201-0000

CONSTRUCTION

SURVEY AND

STAKING

ALL LPSM

F1020 15401-0000 CONTRACTOR

TESTING ALL LPSM

F1030 15705-1400

SOIL EROSION

CONTROL, FIBER

ROLL

50.000 LNFT

F1040 20301-3900

REMOVAL OF

PAVEMENT

MARKINGS, SYMBOLS

AND WORDS

15.000 EACH

F1050 20302-2600

REMOVAL OF

PAVEMENT

MARKINGS

4,900.000 LNFT

F1060 40401-0000

THIN LIFT ASPHALT

CONCRETE

PAVEMENT

590.000 TON

F1080 41201-0000 TACK COAT 13.000 TON

F1090 41301-0000 ASPHALT PAVEMENT

MILLING

(VARIABLE DEPTH

TRANSITION MILLING) 2,200.000 SQYD

F1100 41401-2000 CRACKS, CLEANING

AND SEALING 385.000 LNFT

F1110 63401-1500

PAVEMENT

MARKINGS, TYPE H,

SOLID

4,900.000 LNFT

F1120 63401-1600

PAVEMENT

MARKINGS, TYPE H,

BROKEN

275.000 LNFT

F1130 63405-2900

PAVEMENT

MARKINGS, TYPE H,

TURN ARROW

2.000 EACH

F1140 63405-2950

PAVEMENT

MARKINGS, TYPE H,

STRAIGHT ARROW

4.000 EACH

F1150 63405-3250

PAVEMENT

MARKINGS, TYPE H,

ACCESSIBILITY

SYMBOL

8.000 EACH

F1160 63501-0000 TEMPORARY TRAFFIC

CONTROL ALL LPSM

Submitted By: Schedule Total:

B-7Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and

Project No : NP SER PMS FY25(1) Schedule : G

Project Name : Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

Schedule Type : Option

Contract Quantity Pay Items

No Contract Quantity Pay Items

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

G1000 15101-0000 MOBILIZATION ALL LPSM

G1010 15201-0000

CONSTRUCTION

SURVEY AND

STAKING

ALL LPSM

G1020 15401-0000 CONTRACTOR

TESTING ALL LPSM

G1030 15705-1400

SOIL EROSION

CONTROL, FIBER

ROLL

50.000 LNFT

G1040 20301-3400 REMOVAL OF

WHEELSTOP 8.000 EACH

G1050 20301-3410 REMOVAL OF SPEED

BUMP

(TRAFFIC SPIKES) 2.000 EACH

G1060 20301-3420 REMOVAL OF SPEED

HUMP 4.000 EACH

G1070 20301-3900

REMOVAL OF

PAVEMENT

MARKINGS, SYMBOLS

AND WORDS

49.000 EACH

G1080 20302-2600

REMOVAL OF

PAVEMENT

MARKINGS

12,600.000 LNFT

G1090 40401-0000

THIN LIFT ASPHALT

CONCRETE

PAVEMENT

810.000 TON

G1110 40702-0300 CHIP SEAL, TYPE 1C 8,200.000 SQYD

G1120 41201-0000 TACK COAT 14.000 TON

G1130 41301-0000 ASPHALT PAVEMENT

MILLING

(VARIABLE DEPTH

TRANSITION MILLING) 1,400.000 SQYD

G1140 41401-2000 CRACKS, CLEANING

AND SEALING 2,750.000 LNFT

G1150 41801-2000

ASPHALT CONCRETE

PAVEMENT PATCH,

TYPE 2

38.000 SQYD

G1160 60915-1000 WHEELSTOP,

CONCRETE 8.000 EACH

G1170 60920-0000 RESET WHEELSTOP 72.000 EACH

G1180 63309-0000 DELINEATOR 6.000 EACH

G1190 63312-0000 SPEED HUMP (PLASTIC) 4.000 EACH

G1200 63316-2000 REMOVE AND RESET

DELINEATOR 9.000 EACH

G1210 63331-0000 TRAFFIC SPIKES 25.000 LNFT

G1220 63401-1500

PAVEMENT

MARKINGS, TYPE H,

SOLID

12,600.000 LNFT

G1230 63405-2900

PAVEMENT

MARKINGS, TYPE H,

TURN ARROW

2.000 EACH

B-8Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and

G1240 63405-2950

PAVEMENT

MARKINGS, TYPE H,

STRAIGHT ARROW

25.000 EACH

G1250 63405-3000

PAVEMENT

MARKINGS, TYPE H,

STRAIGHT/TURN

ARROW

COMBINATION

2.000 EACH

G1260 63405-3100

PAVEMENT

MARKINGS, TYPE H,

"STOP" WORD

MESSAGE

5.000 EACH

G1270 63405-3250

PAVEMENT

MARKINGS, TYPE H,

ACCESSIBILITY

SYMBOL

8.000 EACH

G1280 63501-0000 TEMPORARY TRAFFIC

CONTROL ALL LPSM

Submitted By: Schedule Total:

B-9Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and

Project No : NP SER PMS FY25(1) Schedule : H

Project Name : Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

Schedule Type : Option

Contract Quantity Pay Items

No Contract Quantity Pay Items

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

H1000 15101-0000 MOBILIZATION ALL LPSM

H1010 15201-0000

CONSTRUCTION

SURVEY AND

STAKING

ALL LPSM

H1020 15401-0000 CONTRACTOR

TESTING ALL LPSM

H1030 15705-1400

SOIL EROSION

CONTROL, FIBER

ROLL

50.000 LNFT

H1040 20301-3900

REMOVAL OF

PAVEMENT

MARKINGS, SYMBOLS

AND WORDS

2.000 EACH

H1050 20302-2600

REMOVAL OF

PAVEMENT

MARKINGS

4,200.000 LNFT

H1060 40401-0000

THIN LIFT ASPHALT

CONCRETE

PAVEMENT

225.000 TON

H1070 41201-0000 TACK COAT 5.000 TON

H1080 41301-0000 ASPHALT PAVEMENT

MILLING

(VARIABLE DEPTH

TRANSITION MILLING) 250.000 SQYD

H1090 41401-2000 CRACKS, CLEANING

AND SEALING 250.000 LNFT

H1100 63401-1500

PAVEMENT

MARKINGS, TYPE H,

SOLID

4,300.000 LNFT

H1110 63405-3250

PAVEMENT

MARKINGS, TYPE H,

ACCESSIBILITY

SYMBOL

2.000 EACH

H1120 63501-0000 TEMPORARY TRAFFIC

CONTROL ALL LPSM

Submitted By: Schedule Total:

B-10Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and

Project No : NP SER PMS FY25(1) Schedule : I

Project Name : Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and Repairing Dry Creek Bridge at RUCA

Schedule Type : Option

Contract Quantity Pay Items

No Contract Quantity Pay Items

AMD# Line Item Number

Pay Item Number

Description Supplemental Description

Quantity Unit Unit Price Amount

I1000 15101-0000 MOBILIZATION ALL LPSM

I1010 15201-0000

CONSTRUCTION

SURVEY AND

STAKING

ALL LPSM

I1020 15401-0000 CONTRACTOR

TESTING ALL LPSM

I1030 55235-0000 EXPANSION JOINTS (ASPHALTIC PLUG) 110.000 LNFT

I1040 56101-0000

CONCRETE CRACK

REPAIR BY EPOXY

INJECTION

7.000 LNFT

I1050 57201-0000 REPAIR CONCRETE 3.000 SQYD

I1060 57204-0000

REPAIR CONCRETE (EXPOSED STEEL

REBAR REPAIR,

EPOXY PAINT)

7.000 LNFT

I1070 57210-0000 CLEAN AND RESEAL

JOINTS 57.000 LNFT

Submitted By: Schedule Total:

B-11Bid Schedule Project: NP SER PMS FY25(1), Pavement Preservation of Roads and Parking Areas at six small Parks in GA and AL and

B - 12

PROPOSAL SUMMARY

Project NP SER PMS FY25(1)

(1) Schedule A (Base Task Order) Proposal Total (from Page B-2) = (1) $

(2) Schedule B (Government Option 1) Proposal Total (from Page B-3) = (2) $

(3) Schedule C (Government Option 2) Proposal Total (from Page B-4) = (3) $

(4) Schedule D (Government Option 3) Proposal Total (from Page B-5) = (4) $

(5) Schedule E (Government Option 4) Proposal Total (from Page B-6) = (5) $

(6) Schedule F (Government Option 5) Proposal Total (from Page B-7) = (6) $

(7) Schedule G (Government Option 6) Proposal Total (from Page B-9) = (7) $

(8) Schedule H (Government Option 7) Proposal Total (from Page B-10) = (8) $

(9) Schedule I (Government Option 8) Proposal Total (from Page B-11) = (9) $

Total Price of Project (for evaluation purposes only)

EVALUATION TOTAL PRICE OF PROJECT =

(1) + (2) + (3) + (4) + (5) + (6) + (7) + (8) + (9) $

Maximum Time Allowed for the Task Order if Schedules A and B are Awarded at the Same Time:

If the Government awards the task order as Schedules A + B + C + D + E + F + G + H + I, the performance period to complete all task order work will be 200 calendar days.

Maximum Time Allowed for Each Schedule of Work if Awarded Separately:

If the Government awards the task order as Schedule A only, the performance period to complete all

Schedule A work will be 35 calendar days and will start on the effective date of Schedule A’s Notice to

Proceed.

If Schedule B (Government Option 1) is exercised after the award of the original task order, the performance period to complete all Schedule B work will be 10 calendar days and will start on the effective date of Schedule B’s Notice to Proceed.

If Schedule C (Government Option 2) is exercised after the award of the original task order, the performance period to complete all Schedule C work will be 15 calendar days and will start on the effective date of Schedule C’s Notice to Proceed.

B - 13

PROPOSAL SUMMARY

Project NP SER PMS FY25(1)

If Schedule D (Government Option 3) is exercised after the award of the original task order, the performance period to complete all Schedule D work will be 10 calendar days and will start on the effective date of Schedule D’s Notice to Proceed.

If Schedule E (Government Option 4) is exercised after the award of the original task order, the performance period to complete all Schedule E work will be 15 calendar days and will start on the effective date of Schedule E’s Notice to Proceed.

If Schedule F (Government Option 5) is exercised after the award of the original task order, the performance period to complete all Schedule F work will be 15 calendar days and will start on the effective date of Schedule F’s Notice to Proceed.

If Schedule G (Government Option 6) is exercised after the award of the original task order, the performance period to complete all Schedule G work will be 15 calendar days and will start on the effective date of Schedule G’s Notice to Proceed.

If Schedule H (Government Option 7) is exercised after the award of the original task order, the performance period to complete all Schedule H work will be 15 calendar days and will start on the effective date of Schedule H’s Notice to Proceed.

If Schedule I (Government Option 8) is exercised after the award of the original task order, the performance period to complete all Schedule I work will be 20 calendar days and will start on the effective date of Schedule I’s Notice to Proceed.

I

I

I

I

I

I

NO. DATE BY REVISIONS

<p

I (1) 12/15/202� HM Deleted pay item for Field Office from Section 637.

Line Item

No.

AlO00

A1010

A1020

A1030

A1040

A1050

A1060

Al070

A1090

All00

Alll0

A1120

All30

A1140

A1150

A1160

A1170

A1180

Pay Item No.

15101-0000

15201-0000

15401-0000

15705-1400

20301-2400

20301-3900

20302-2600

40401-0000

40702-0300

41201-0000

41301-0000

41401-2000

41801-2000

63304-0900

63401-1500

63405-2950

63405-3000

63405-3250

SCHEDULE A

Pay Item Description

MOBILIZATION

CONSTRUCTION SURVEY AND STAKING

CONTRACTOR TESTING

SOIL EROSION CONTROL, FIBER ROLL

REMOVAL OF SIGN

REMOVAL OF PAVEMENT MARKINGS, SYMBOLS AND WORDS

REMOVAL OF PAVEMENT MARKINGS

THIN LIFT ASPHALT CONCRETE PAVEMENT

CHIP SEAL, TYPE 1C

TACK COAT

ASPHALT PAVEMENT MILLING (VARIABLE DEPTH TRANSITION

MILLING)

CRACKS, CLEANING AND SEALING

ASPHALT CONCRETE PAVEMENT PATCH, TYPE 2

SIGNS, ALUMINUM PANELS, TYPE 3 SHEETING

PAVEMENT MARKINGS, TYPE H, SOLID

PAVEMENT MARKINGS, TYPE H, STRAIGHT ARROW

PAVEMENT MARKINGS, TYPE H, STRAIGHT/TURN ARROW

COMBINATION

PAVEMENT MARKINGS, TYPE H, ACCESSIBILITY SYMBOL

Unit

LPSM

LPSM

LPSM

LNFT

EACH

EACH

LNFT

TON

SQYD

TON

SQYD

LNFT

SQYD

SQFT

LNFT

EACH

EACH

EACH

NPS PMIS No 335947 335251 335257 335239 341345 336007 335916 NPS Drwa No 363/197889

I AMENDEMENT NO. 0002 <p

Estimated

Quantities

Bid Schedule

ALL

ALL

ALL

23,000

1,220

3,250

1,850

2,300

23,000

PROJECT

NP SER PMS FY25(1)

SHEET

NUMBER

COl

U.S. DEPARTMENT OF TRANSPORTATION

FEDERAL HIGHWAY ADMINISTRATION

OFFICE OF FEDERAL LANDS HIGHWAY

SOUTHEAST REGION (OCMU, TUAI, TUIN, SEMO, LIRI, RUCA)

TABULATION OF QUANTITIES

Non-Environmental 30 Days or Less

Right of Entry Instructions & Guides

NON-ENVIRONMENTAL 30 DAYS OR LESS

RIGHT OF ENTRY APPLICATION INSTRUCTIONS

Norfolk Southern Railway Company and its operating subsidiaries (collectively, NS) has secured the services of RailPros to handle environmental rights of entry applications. On NS’s behalf, RailPros will receive and process the applications through the application management portal: https://ns.railprospermitting.com. All applications must be submitted through this platform and all correspondence regarding applications (i.e., questions, updates and messages) will be handled through this system.

Processing of your application involves several departments at NS and requires NS management review and approval. No access is allowed prior to the execution of a separate formal agreement with NS and verification that all insurance requirements have been met.

NOTE: IF YOUR ACCESS IS RELATED TO A UTILITY WORK DO NOT USE THIS APPLICATION. SUBMIT A PIPE & WIRE

APPLICATION.

APPLICATION FEE

FEE SCHEDULE

Non-environmental Right of Entry $1,600.00

Expedited Application Fee $3,000.00

Please be advised that the application fee is nonrefundable and does not guarantee approval. If the Non-environmental right of entry requires multiple locations, additional fees may apply.

HANDLING PROCESS

• An application must be submitted and the appropriate application fees paid before an application will be reviewed. For detailed instructions on how to use the portal, please refer to “Portal Tutorial” on the portal homepage https://ns.railprospermitting.com.

• RailPros will assign a NS Activity Number and communicate it to the applicant via message within the portal and an email within two (2) business days. All communications will reference this Activity Number.

• For documentation and ease of tracking, all communications should be within the portal. The applicant will receive an email alert that there is a new message in the portal.

• When the application is complete and determined to be satisfactory, RailPros will facilitate the review by NS departments and communicate the results of that review to the applicant.

• If NS approval is granted, RailPros will prepare and transmit the Right of Entry to the applicant via DocuSign.

• NS will execute the right of entry upon the receipt of insurance certificates and the appropriate fees.

• No verbal authorization will be provided.

Amendment No. 0002 https://ns.railprospermitting.com/ https://ns.railprospermitting.com/

• No emailed or mailed submissions will be accepted. All applications must be submitted through the application portal.

• Processing of your application requires NS management review and approval and may involve several departments. Please allow 4-6 weeks for processing.

• Expedited applications will be allowed, but there are no guarantees that access will be granted. The expedite fee only moves your application up the queue before hundreds of other requests. It does not impact the availability of flaggers.

REQUIREMENTS FOR A COMPLETE APPLICATION

Complete all questions and upload all required documents into the application portal where indicated, including the following:

1. Requesting Party: Please be sure to provide the requesting party’s complete legal name (which is not the consultant working on behalf of the requesting party).

2. Application fee: All applications must be submitted online at the time of application submittal.

3. Scope of Work: All applications must include a detailed description of the requested work to be performed. The scope of work must include descriptions of the anticipated work, activity or temporary use of the property.

The scope of work should clearly state why access to NS property is required, what alternatives were considered. It must include the anticipated duration.

4. Exhibit: All applications must include an exhibit depicting the approximate location on the NS property where the work is anticipated to be conducted, including dimensions and distances from any existing railroad structures such as railroad track. Any planned structures on the property, with dimensions from the nearest track, should also be depicted.

The proposed area of access, including ingress and egress should be highlighted. Please indicate which direction is north. If available, include additional information to assist in processing the application, such as the closest property address, railroad milepost, the parcel ID number, GPS coordinates, DOT #, and latitude and longitude. If milepost markers are readily accessible or visible on property, include them.

HAZARDOUS MATERIALS

Prohibition of Certain Potentially Environmentally Damaging Operation son company Property:

Electronics, electrical transformer repair or reconditioning, blast furnaces, steel works, rolling or finishing mills, smelting and/or refining, wood treatment or tie plants, salvage operations, junk yards, scrap dealers, drum or barrel reconditioners, battery recycling, tire storage or recycling, waste disposal operations of any kind including landfills, surface impoundments, and waste piles, incinerators, sewage systems, electroplating operations, fuel blending , waste or used oil recycling or reclamation, explosives disposal, manufacturing or detonation, bulk oil storage or any facility requiring TSD hazardous waste permit or any hazardous waste transloading facility.

The foregoing list of prohibited activities on company property is not exclusive. All proposed leases, licenses, and permits will be carefully evaluated to determine if the proposed activities pose an unreasonable environmental risk.

INSURANCE REQUIREMENTS

The NS insurance requirements will be defined in the right of entry agreement. In general, each agreement will require the applicant to obtain, at its sole cost and expense, various types of insurance coverage with various limits.

These insurance coverages must be of a form and underwritten by insurance companies that meet with NS’s approval. The types of insurance typically required include:

• Commercial General Liability Insurance

• Automobile Liability Insurance

• Worker's Compensation Insurance

• Railroad Protective Liability Insurance

In certain instances, the licensee may be required to pay NS a risk-financing fee to add the project to NS’s Master Railroad Protective Policy. This will satisfy the railroad protective liability insurance requirement in its entirety for the project.

NS generally requires a policy of Commercial General Liability Insurance with a combined single limit of not less than $2,000,000 per occurrence for injury to or death of persons and damage to or loss or destruction of property.

Access will not be authorized until all insurance requirements are satisfied.

a. The certificate must name as Certificate Holders, Norfolk Southern Corporation, Subsidiaries and Affiliates at 650 West Peachtree Street, Box 46, Atlanta, GA 30308 and endorsed to be Additional Insured to all applicable policies as required by written contract. All policies maintained in which Norfolk Southern Corporation, Subsidiaries and Affiliates have been endorsed as Additional Insured shall include a waiver of subrogation and shall be primary and non-contributory. All policies shall be endorsed to provide 30 days’ notice of cancellation.

b. The Certificate of Insurance (COI) shall be uploaded into the application portal prior to NS executing the right of entry agreement.

QUESTIONS?

Contact RailPros via Email or Phone:

Email: NS.Permitting@RailPros.com Phone: (402) 965-0539 mailto:NS.Permitting@RailPros.com

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

(A/C, No, Ext):

PHONE

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

N / A

SUBR

WVD

ADDL

INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

COMBINED SINGLE LIMITAUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

$E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

EXCESS LIAB

UMBRELLA LIAB $

OCCUR

CLAIMS-MADE

DED RETENTION $

$EACH OCCURRENCE

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

CERTIFICATE HOLDER

PRODUCER

OH 43952

1156486253

A X X

Y Y ABC123456

A Y Y 123456ABC

B X X

Y XYZ12345Y

X

Norfolk Southern Corporation, Subsidiaries, and Affiliates 650 W Peachtree Street NW, Box 46 Atlanta GA 30308

Insured The Named Insured needs to match the Licensee identified on the agreement

Note 1

Note 1: Any portion of this requirement may be satisfied by a combination of General Liability and/or Excess/Umbrella Liability

$1,000,000

DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Norfolk Southern Corporation, Subsidiaries, and Affiliates, as Certificate Holder has been endorsed to be additional insured to all applicable policies as required by written contract. All polices maintained and in which Norfolk Southern Corporation, Subsidiaries and Affiliates have been endorsed as additional insured shall include a waiver of subrogation and shall be primary and non-contributory. All policies have been endorsed to provide Norfolk Southern Corporation, Subsidiaries and Affiliates 30 days' notice of cancellation.

SAMPLE

X N

$2,000,000

$1,000,000Y

Amendment No. 0002 valerie.harrill Highlight valerie.harrill Highlight valerie.harrill Highlight valerie.harrill Highlight valerie.harrill Highlight

Access Only – Project Drawing Example

Scope of Work:

ABC Company will be accessing NS ROW to park a vehicle to perform work on adjacent property. No equipment will cross the track.

Equipment: One truck, handheld survey equipment only

Estimated Occupancy Time: 1 Day

Estimated Size of Crew: 2

COORDINATES

LAT: 40.937133

LONG: -85.377051

Access Route

ABC Company (Project Location) County (Project Location)_Street

(Project Location) City, State, Zip

Bridge Inspection – Project Drawing Example

ABC Company will perform a bridge inspection at DOT Crossing Number **718044M/ Mitchell St. SW bridge with a truck mounted snooper from highway above tracks to access the underside of bridge and will walk across tracks to perform visual inspection of substructure of bridge

Equipment: 1 truck mounted Snooper truck

Estimated Occupancy Time: 1 Day

Estimated Size of Crew: 2 ABC Company (Project Location) County (Project Location)_Street

(Project Location) City, State, Zip

CROSSING COORDINATES

LAT: 33.753461

LONG: -84.397599

Under bridge Access Route from public parking lot

**Note: If you are accessing from below the bridge, please include ingress/egress

**To find the DOT #, please visit: https://safetydata.fra.dot.gov/OfficeofSafety/PublicSite/Crossing/Crossing.aspx

Paving/Resurfacing/Milling - Project Drawing & Scope of Work Example

ABC Company will perform asphalt resurfacing up to the existing aprons approximately 8 feet from edge of track on both sides at DOT Crossing *#478259W (Note: there is no paving allowed within 1 foot of the track unless prior approval from NS has been acquired)

Equipment: Asphalt Paver and Rollers

Estimated Occupancy Time: 2 Days

Estimated Size of Crew: 3

CROSSING COORDINATES

LAT: 40.937133

LONG: -85.377051

Resurfacing stops 8 feet from edge of track

ABC Company (Project Location) County (Project Location)_Street

(Project Location) City, State, Zip

*To find the DOT #, please visit: https://safetydata.fra.dot.gov/OfficeofSafety/PublicSite/Crossing/Crossing.aspx

Geotechnical Boring – Project Drawing Example (Page 1 of 2)

ABC Company will be performing six (6) geotechnical borings in preparation for a future bridge project

Equipment: Truck, Auger Drill

Estimated Occupancy Time: 1 Day

Estimated Size of Crew: 3 ABC Company

(Project Location) _County (Project Location)_(Street)

(Project Location) City, State, Zip

START COORDINATES

LAT: 33.671080

LONG: -84.437383

A-1

A-2 B-1

B-2

C-1

C-2

END COORDINATES

LAT: 33.725080

LONG: -84.427486

Geotechnical Boring – Project Drawing Example (Page 2 of 2)

Geotechnical Boring Location Details – (this must be included with the map/project drawing)

Boring Location

Latitude Longitude Proposed Boring Depth

Approximate Boring Width

Distance from Edge of

Railway A-1 33.670885 -84.437327 20” 18” 12 ft A-2 33.670781 -84.437304 24” 18” 24 ft B-1 33.670838 -84.437063 30” 12” 21 ft B-2 33.670793 -84.436966 30” 12” 30 ft C-1 33.670569 -84.437130 24” 18” 20 ft C-2 33.670595 -84.437079 30” 18” 18 ft

Topographical Survey – Project Drawing Example

ABC Company will be performing a topographical survey and utility location in preparation for future pipeline project

Equipment: 1 truck, handheld survey equipment

Estimated Occupancy Time: 1 Day

Estimated Size of Crew: 2

START - CROSSING COORDINATES

LAT: 33.934144

LONG: -80.929017

Access Route

END - CROSSING COORDINATES

LAT: 33.933165

LONG: -80.927258

ABC Company (Project Location) County (Project Location)_Street

Vegetation Clearing – Project Drawing Example

ABC Company will be performing tree trimming and light vegetation clearing on both sides of track. Equipment will cross track at the public grade crossing.

Equipment: 1 Excavator and 1 Bulldozer

Estimated Occupancy Time: 5 Days

Estimated Size of Crew: 6

CROSSING COORDINATES

LAT: 40.937133

LONG: -85.377051

Access Route

ABC Company (Project Location) County (Project Location)_Street