A00808-609213.pdf

Massachusetts Department Of Transportation Highway Division Proposal No. 609213-134927

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DOCUMENT A00808

PROJECT UTILITY COORDINATION FORM

Massachusetts Department Of Transportation Highway Division Proposal No. 609213-134927

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Revision Date:

Mass DOT PM: Total Poles Relocated: 11/26/2025

PRINTED

jduval@theengineeringcorp.com

Yes No Agreement YES NO YES NO UG OH National Grid

Electric Manuel Munoz 401-895-9726 Manuel.Munoz@nationalgrid.com X X X X X

Charter John Yurkevicius 774-243-9834 John.yurkevicius@charter.com X X X X X

Verizon Paul Styspeck 508-294-7527 paul.m.styspeck@verizon.com X X X X X

National Grid Gas Melissa Owens 781-907-2845 melissa.owens@nationalgrid.com X X X X X

Harvard DPW Dan Nason 978-456-4100

Ext. 502 dnason@harvard-ma.gov X X

Suggested Sequence of Relocation ( Based on Consultant proposed construction staging)

X

The sequence as detailed on the following pages is based on the consultants proposed staging plan. This information was compiled through meetings that included all of the utilities listed below along with the designer and the Town of Spencer. The information provided is the best available information prior to project advertisement.

From UP 53 at STA 25+95±RT NGRID Electric has underground conduit that crosses the road and continues North on the West side of the road. This conduits enters the NGRID substation and also continues underground North to UP 4-50 at STA 34+75±LT. This conduit was shown on the plans to the best extent possible and the contractor should be aware of its presence when working in the vicinity. Proper coordination with NGRID Electric should be done when working in this area. NGRID Gas betterment work order # 1413777. (1) Replace 1600-ft of 8-inch Bare Steel from W Main Street to Olde Main Street with 1600-ft of 12-inch 58psig plastic main. Abandon same limit.

(2) Replace 475-ft of 58psig gas main in Meadow Road from Olde Main Street to #10 Meadow Road with 4-inch 58psig gas main and abandon same limit. (3) Replace 250-ft of 8-inch psig bare steel in Olde Main Street from Meadow Road to #18 Olde Main Street with 250-ft of 12-inch 58psig plastic gas main and abandon same limit. The 8" water line is proposed to be abandoned by the Town in spring 2023 throughout the project limits.

Utility Relocation Notes for MassDOT Contractor Unless otherwise noted by Contract, the MassDOT Contractor is to provide the District Construction Office with 7 Calendar Days advance notification in order to validate the current progress and provide the required 30 Days advance notice-to-proceed for the first Utility - and each subsequent Utility. These advance notifications are to be identified in the Contractor's Schedules (Pre-Con preparation, Baseline, Subnets, and Updated/Monthly Schedules) as specified in Subsection 8.02 (for DBB Contracts) and/or Section 9 (of DB Contracts). Note: The durations included below do not include these lead-times. See Additional 'Important Basis notes for Contractor' - on last PUC Form page.

Additional notes:

Utilities Underground (UG)

/Aerial (OH)

Route/Street:

TEC Jared Duval

Scope, Budget, Duration Submitted ReimbursementUtility Company Contact Office # Cell # Email

Non-Reimb'le Notes

Potential for District Initiated Early Relocation *

Consultant:

Resident Engineer: Scheduled Ad Date:

9/30/2025

Contact: Office # Cell #

CONTACTS AND GENERAL UTILITY INFORMATION

Project Utilities Coordination (PUC) Form

Harvard 609213 Rick Handfield National Grid Electric

City/Town: PUC Completed by:Project File #: Utility Pole Set:

Utilities On Bridge/Structure

Ayer Road TBD Muazzez Reardon

Email

R&R -45 Proposed- 9

New - 12

508-513-2702

Proposla No. 609213-134927

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Yes No 11/26/2025

X PRINTED

Yes No

X

Exclusive Utility on site

Concurrent Utilities

Contractor Off-Site

Contractor Concurrent

C

Co nt ra ct or U

U til ity

C o.

U til ity w or ki ng w ith n o ot he r U til iti es in v ic in ity

U til ity w or o th er iti es o n si te

N o

Co nt ra ct or ph ys ic al co ns tr uc tio n op er at io ns o n-sit e

(w hi le U til is

Co nt ra ct or a nd ity a re w or on -s ite bu t N

O T in th e sa m e vi ci ni ty

C

Task: 1 U Poles/Anchors - 88 poles/54 anchors 90 X X No

U Primary Conductors - replacement of about 8,700' of 3-PH spacer cable & secondary/neutral 80 X X No

U Services / Outages - replacement of all services along Ayer Rd 20 X X No

U Equipment - replacement of 57 transformers, 1 recloser, 2 loadbreaks, etc. 40 X X No

U Tree trimming - tree trimming estimate for approximate 1.5 mile span 10 X X No

U Civil - UG work for moving primary risers 30 X X No

Task: 2

U Install new fiber optic cables 5 X X No

U Service affecting work customer notication (min 15 business day window) 15 X X No

U Cutover splicing (Night Work) 5 X X No

U Cable Removal 3 X X No

Task: 3

U 15 X X No

U 15 X X No

U 10 X X No

U 20 X X No

U 20 X X No

U 10 X X No

U 5 X X No

U 10 X X No

Task: 4

U Verizon Line - Stencil Poles, Place Guywire & Anchors 18 X X No

U Verizon Line - Place Aerial CU Cable(s) 23 X X No

U Verizon Line - Place Aerial Cable Associated Equipment 3 X X No

U Verizon Line - Transfer / Relocate all Cable(s) to new poles 16 X X No

U Verizon Line - Transfer / Relocate all Associated Cable Equipment to new poles 2 X X No

U Verizon Splice - Splice Aerial Cable(s) 47 X X No

U Verizon Splice - Test Aerial Cable(s) 10 X X No

U Verizon Contract Work 10 X X No

U Verizon Splice - Trimout Aerial Cable(s) 16 X X No

U Verizon Line - Remove Aerial cable(s) & Associate Equipment 54 X X No

U Verizon Line - Remove Aerial Associated Cable Equipment 8 X X No

U Verizon Line - Remove remaining Guywire & Anchors 10 X X No

U Verizon Line - Remove remaining Poles 54 X X No

Splice coax and activate Construct new fiber or swing fiber onto new pole line Delash existing fibers and relocate slack for splicing

Verizon

Sub-Total 28

Sub-Total 271

Transfer old onto new poles and resag plant Wreck out any old coax/fiber

Relocate node and splice-fiber and coax

Construct strand and ground onto new pole line Construct new coax onto new strand

Charter

Sub-Total

RE

SP

O N

SI

BL

E

PA

RT

Y

Es tim at ed

D ur at io n (W or k

D ay

s) b y U til iti es

(L ea d tim e no t i nc lu de d)

Enabling' work by the Contractor - At preconstruction meeting schedule a utility walkthrough to discuss pole locations and review tree trimming/removals.

Prior to overhead utility relocations contractor will need to perform any necessary clearing & grubbing and tree removal as specified in Contract Documents.

Rough grade from STA 37+00 LT± to 43+00 LT±, 43+50 RT± to 44+00 RT±, 49+75 LT± , 60+00 LT± and 111+00 LT± on Gebo Lane, before relocating the poles.

Survey will need to stake utility pole locations prior to utility walkthrough. Initiate work orders with National Grid Electric for secondary electric riser

DESCRIPTION - Utility Relocation Phases, Tasks and Activities

Is 'enabling' (prep) work, by the Contractor, necessary prior to the start of the first series of utility relocations:

Has any of the Utility work been identified to work concurrently

PUC FORM - CONTINUED

Po te nt ia l A cc es s

Re st ra in t (Y es /N o)

Access Restraint & Limitations of Operations Notes

Should an AR be considered for the Contractor ?

Re as on /N ot e

(o pt io na l)

Crown Castle Sub-Total

Concurrent / Exclusive Utility Work Contractor note: In planning and executing the work, the Access Restraints listed in the Special Provisions, takes precedence over the checklist in these 4 columns.

UTILITY OPERATIONS - Aerial National Grid Electric (See Note 9)

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Exclusive Utility on site

Concurrent Utilities

Contractor Off-Site

Contractor Concurrent

C

Co nt ra ct or U

U til ity

C o.

U til ity w or n o ot he r U til iti es in v ic ity w or o iti es o n si te

N o

Co nt ra tr uc tio n op er at io ns o n-sit e

(w hi le U til ra ct or ity a re w or ite bu t N

O T in th e sa m e vi ci

RE

SP

O N

SI

BL

E

PA

RT

Y

Es tim at ed

D ur at io n (W or k

D ay

s) b y U til d tim e no t i nc lu de d)

DESCRIPTION - Utility Relocation Phases, Tasks and Activities

Po te nt ia l A cc es s

Re st ra in t (Y es

Should an AR be considered for the Contractor ?

Re as on /N ot e

(o pt io na l)

Concurrent / Exclusive Utility Work Contractor note: In planning and executing the work, the Access Restraints listed in the Special Provisions, takes precedence over the checklist in these 4 columns.

C

Task 1 Installation/Abandonment of 100 FT 2 inch Gas Main

U Excavate & Shore X X No

U Trench and Install approx 100 FT of 2 inch 60 PSIG Plastic Gas Main X X No

U Main Connections/Tie-ins X X No

U Stop/Tap/Purge/Cut/Cap X X No

U Backfill X No

Task 2 Installation/Abandonment of 50 FT of 2 inch Gas Main U Excavate & Shore X X No

U Trench and Install approx 50 FT of 2 inch 60 PSIG coated steel gas main X X No

U Main Connections/Tie-ins X X No

U Stop/Tap/Purge/Cut/Cap X X No

U Backfill X X No

Task 3 Installation/Abandonment of 50 FT of 2 inch Gas Main U Excavate & Shore X X No

U Trench and Install approx 50 FT of 2 inch 60 PSIG coated steel gas main X X No

U Main Connections/Tie-ins X X No

U Stop/Tap/Purge/Cut/Cap X X No

U Backfill X X No

Task 4 Installation/Abandonment of 50 FT of 2 inch Gas Main U Excavate & Shore X X No

U Trench and Install approx 50 FT of 2 inch 60 PSIG coated steel gas main X X No

U Main Connections/Tie-ins X X No

U Stop/Tap/Purge/Cut/Cap X X No

U Backfill X X No

Sub-Total

Enabling' work by the Contractor - MDOT’s contractor should test pit the gas main where conflicts are anticipated with proposed structures and lateral crossings. If relocations can be avoided, National Grid will review the scope of replacement for the potential to reduce cost and time. Design changes of any scale should be extensively reviewed and coordinated with National Grid well in advance of gas work. Without prior review and approval of changes, National Grid cannot guarantee that the design will still be acceptable for gas main relocation/installation. Design changes after receipt of the signed force account could greatly impact the cost of gas work. Additionally, changes in scope that alter the gas relocation may change National Grids ability to meet MDOT construction timelines. Contractor to provide 30 days notification prior to the required start of any necessary natural gas work and provide area to stockpile materials and staging area (if possible), provide National Grid with a construction schedule for utility relocations, mark out the project stationing on the road and provide the layout for where the gas main will be installed and confirm existing vs final elevations directly along proposed gas pipe alignment prior to start of gas work. Final depth of pipe will be based off of this confirmation, and must be in compliance with the minimums required by the DPU.

IMPORTANT BASIS NOTES - FOR CONTRACTOR

National Grid Gas UTILITY OPERATIONS - Underground (Betterment)

Unless otherwise specified in the MassDOT Construction Contract, or unless specifically noted within this PUC Form, these durations (herein) are based upon the Contractor providing unimpeded access to the Utility company to perform Utility relocations (see Note 5 - Access).

Access - Unless otherwise noted in the Contract, and in addition to the 'enabling' notes above, the Contractor must provide safe and unimpeded access (for trucks, lifts, cranes, etc.) to the Utilities, to allow for the proposed relocation(s) -including but not limited to snow removal, clearing and grubbing, guard rail removal, barrier removal, tree removal, and grading. Any costs associated with these tasks are deemed to be incidental to the project.

For all MassDOT construction contracts issued after January 2014, the new Utility Coordination/documentation specification is required. This is Section 8.14 in Design-Bid-Build Contracts (see Design-Build index reference for applicable section #).

Prior to starting any and all enabling work for Utilities, the Contractor is to plan in advance with submittals and approved durations.

"Concurrent Utilities" operations noted herein, are to signify those Utility Company operations that can be worked concurrently (e.g. Utility A and Utility B work on-site together) - MassDOT and the Contractor are to prepare NTPs to Utilities accordingly.

"Potential Access Restraints" noted within this PUC Form are for planning purposes. See MassDOT Contract for Contractual Access Restraints (refer to Subsections 8.02, 8.03, and/or 8.06 for Design Bid Build Contracts and Volume II Section 9 for Design Build Contracts).

Utility non-work periods - For planning purposes, the durations above contain some non work days (contingency) for New England conditions (precipitation, high temperatures, low temperatures, snow, ice). Gas line work however, typically has a seasonal restriction and can NOT be installed from 15-November to 15-March. Municipally Owned Electric and Gas Utilities are also restricted from proceeding from 15-November to 15-March. The Contractor shall (and the CTD plan) reflect this calendar restriction within the schedule (unless otherwise note).

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Exclusive Utility on site

Concurrent Utilities

Contractor Off-Site

Contractor Concurrent

C

Co nt ra ct or U

U til ity

C o.

U til ity w or n o ot he r U til iti es in v ic ity w or o iti es o n si te

N o

Co nt ra tr uc tio n op er at io ns o n-sit e

(w hi le U til ra ct or ity a re w or ite bu t N

O T in th e sa m e vi ci

RE

SP

O N

SI

BL

E

PA

RT

Y

Es tim at ed

D ur at io n (W or k

D ay

s) b y U til d tim e no t i nc lu de d)

DESCRIPTION - Utility Relocation Phases, Tasks and Activities

Po te nt ia l A cc es s

Re st ra in t (Y es

Should an AR be considered for the Contractor ?

Re as on /N ot e

(o pt io na l)

Concurrent / Exclusive Utility Work Contractor note: In planning and executing the work, the Access Restraints listed in the Special Provisions, takes precedence over the checklist in these 4 columns.

9 ** MATERIAL SUPPLY CHAIN DELAYS*** An initial lead time (90 days) for the first utility to begin relocations is requested by National Grid

* Potential District Initiated Early Utility Relocation - if noted herein, the District reserves the right to initiate early utility relocation in advance of the Contract NTP. In submitting a bid price and in the development/basis of the Baseline Schedule, the Contractor shall not plan the Work with the potential benefit of any form of 'early utility relocation.' As a requirement of the Baseline submission, unless otherwise noted in this Specification, the earliest that the first Utility company is to receive the 30 days advance notification to mobilize to the site, will be 7 calendar days after the pre-construction meeting and never sooner than 7 days after the Contract NTP.

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