A00808-613295.pdf

Massachusetts Department Of Transportation Highway Division Proposal No. 613295-133722

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DOCUMENT A00808

PROJECT UTILITY COORDINATION FORM

Massachusetts Department Of Transportation Highway Division

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M ass DO

T PM

Total Poles Relocated:

1/13/2026

PRIN

TED

Yes N o Agreem ent

YES

N O

YES

N

O U

G O

H

Eversource Peter Bednarz peter.bednarz@ eversource.com

X x x x x

VZ

Paul Styspeck

Paul. M . Styspeck (paul.m

.styspeck@ verizon.com

X x x x x

Com cast

Thom as Brow n "Brow n, Thom as H

" <thom as_brow n@ com cast.com

X x x x x

GCET

John Lunt

JLunt@ gcet.net

X x x x x

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

Resident Engineer:

Scheduled Ad Date:

City/Tow n:

PU

C Com pleted by:

Project File #:

U tility Pole Set:

CO

N

TACTS AN

D GEN

ERAL U

TILITY IN

FO

RM

ATIO

N

Project U tilities Coordination (PU C) Form

12/9/2025

Greenfield 613295

Paul Kelly

VZ

U tilities O n Bridge/Structure

Log Plain Road over G& W

Railroad M

G Reardon 1/31/2026

Consultant:

Contact:

O ffice #

Cell # Em ail m att.schw artz@ jacobs.com

U tilities

U nderground (U

G

/Aerial (O H

Route/Street:

Jacobs Engineering Group M athew Schw artz

Scope, Budget, Duration Subm itted Reim bursem ent

U tility Com pany Contact

O ffice #

Cell # Em ail N on-Reim b'le

N otes

Potential for District Initiated Early Relocation *

The sequence as detailed on the follow ing pages is based on the consultants proposed staging plan. This inform ation w as com piled through m eetings that included all of the utilities listed below along w ith the designer and the (insert M unicipality here). The inform ation provided is the best available inform ation prior to project advertisem ent.

U tility Relocation N otes for M assDO

T Contractor U nless otherw ise noted by Contract, the M assDO T Contractor is to provide the District Construction O ffice w ith 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 U tility - and each subsequent U tility. These advance notifications are to be identified in the Contractor's Schedules (Pre-Con preparation, Baseline, Subnets, and U pdated/M onthly Schedules) as specified in Subsection 8.02 (for DBB Contracts) and/or Section 9 (of DB Contracts). N ote: The durations included below do not include these lead-tim

es. See Additional 'Im portant Basis notes for Contractor' - on last PU C Form page.

Additional notes:

Proposal No. 613295-133722

A00808 - 3 mailto:matt.schwartz@jacobs.com mailto:matt.schwartz@jacobs.com mailto:matt.schwartz@jacobs.com mailto:peter.bednarz@eversource.com mailto:miguel_Quintal@cable.comcast.com mailto:JLunt@gcet.net mailto:matt.schwartz@jacobs.com

Yes o 1/13/2026 x

PRIN

TED

Yes o x

Exclusive U tility on site

Concurrent U tilities

Contractor O ff-Site Contractor Concurrent

C = Contractor U = Utility Co.

Utility working with no other

Utilities in vicinity

Utility working with other

Utilities on site

No Contractor physical construction operations on-site

(while Utility is Contractor and

Utility are working on-site - but NOT in the same vicinity

Stage : 1 Phase : A

C = Con

Task: 1 U

X

X N

O

Task: 2 U x x

N O

U x

U x

Task: 3 U

X

X N

O

U

X

U

X

Task: 3 U

X

X N

O

U

X

U

X

Task: 4 U

X X

N O

U X

X N

O

1234567

PU

C FO

RM

- CO

N

TIN

U

ED

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

H as any of the U tility w ork been identified to w ork concurrently

U

TILITY O

PERATIO

N S - _________________

Access Restraint & Lim itations of O perations N otes

Contractor note: In planning and executing the w ork, the

Access Restraints listed in the Special Provisions, takes precedence over the checklist in these 4 colum ns.

Should an AR be considered for the

Contractor ?

Potential Access Restraint (Yes/No)

Reason/Note (optional)

Concurrent / Exclusive U tility W ork

Eversource fram es poles, sets anchor, replaces conductors and guying.

RESPONSIBLE PARTY

DESCRIPTIO

N

- U tility Relocation Phases, Tasks and Activities

Estimated Duration (Work Days) by Utilities (Lead time not included)

U tility Co. VERIZO

N and EVERSO

U

RCE

Verizon and Eversource sets utility poles

Enabling' w ork by the Contractor - ____________The Contractor com pletes tree clearing.

U

TILITY O

PERATIO

N

S - _________________

U tility Co. Eversource

Sub-Total

G CET splices and activate, w reck out old plant G

CET delashes existin g fiber sw ing to new strand and lash

U

TILITY O

PERATIO

N

S - _________________

Eversource transfers transform ers, Street Li ghts

Eversource rem oves old w ire and pole tops

Sub-Total

U tility Co. G

CET

G

CET places new strand , lash new coax

U tility Co. Verizon

Sub-Total rem oves abandoned pole and anchors

Verizon transfers ,splices and rem oves existing cable 16 3

U

TILITY O

PERATIO

N

S - _________________

U

TILITY O

PERATIO

N

S - _________________ U tility Co. Com cast

Com cast places new strand , lash new coax

Com cast delashes existin g fiber sw ing to new strand and lash, Com cast splices and activate, w reck out old plant Sub-Total

Sub-Total

U tility non-w ork periods - For planning purposes, the durations above contain som e non w ork days (contingency) for N ew

England conditions (precipitation, high tem peratures, low tem peratures, snow

, ice). G as line w ork how ever, typically has a seasonal restriction and can N O

T be installed from 15-N ovem ber to 15-M arch. M unicipally O w ned Electric and G as U tilities are also restricted from proceeding from 15-N ovem ber to 15-M arch. The Contractor shall (and the CTD plan) reflect this calendar restriction w ithin the schedule (unless otherw ise note).

Access - U nless otherw ise noted in the Contract, and in addition to the 'enabling' notes above, the Contractor m ust provide safe and unim peded access (for trucks, lifts, cranes, etc.) to the U tilities, to allow for the proposed relocation(s) -including but not lim ited to snow rem oval, clearing and grubbing, guard rail rem oval, barrier rem oval, tree rem oval, and grading.

For all M assDO

T construction contracts issued after January 2014, the new U tility Coordination/docum entation 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 w ork for U tilities, the Contractor is to plan in advance w ith subm ittals and approved durations.

"Potential Access Restraints" noted w ithin this PU

C Form are for planning purposes. See M assDO T Contract for Contractual Access Restraints (refer to Subsections 8.02, 8.03, and/or 8.06 for Design Bid Build Contracts and Volum e II Section 9 for Design Build Contracts).

U nless otherw ise specified in the M assDO

T Construction Contract, or unless specifically noted w ithin this PU

C Form , these durations (herein) are based upon the Contractor providing unim peded access to the U tility com pany to perform tility relocations (see N ote 5 - Access).

"Concurrent U tilities" operations noted herein, are to signify those U tility Com pany operations that can be w orked concurrently (e.g. U tility A and U tility B w ork on-site together) - M assDO

T and the Contractor are to prepare N TPs to

U tilities accordingly.

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Exclusive tility on site

Concurrent U tilities

Contractor O ff-Site Contractor Concurrent

C = Contractor U = Utility Co.

Utility working with no other

Utilities in vicinity

Utility working with other

Utilities on site

No Contractor physical construction operations on-site

(while Utility is Contractor and

Utility are working on-site - but NOT in the same vicinity

Access Restraint & Lim itations of O perations N otes

Contractor note: In planning and executing the w ork, the

Access Restraints listed in the Special Provisions, takes precedence over the checklist in these 4 colum ns.

Should an AR be considered for the

Contractor ?

Potential Access Restraint (Yes/No)

Reason/Note (optional)

Concurrent / Exclusive U tility W ork

RESPONSIBLE PARTY

DESCRIPTIO

N

- U tility Relocation Phases, Tasks and Activities

Estimated Duration (Work Days) by Utilities (Lead time not included)

* Potential District Initiated Early U tility Relocation - if noted herein, the District reserves the right to initiate early utility relocation in advance of the Contract N

TP. In subm itting a bid price and in the developm ent/basis of the Baseline Schedule, the Contractor shall not plan the W ork w ith the potential benefit of any form of 'early utility relocation.' As a requirem ent of the Baseline subm ission, unless otherw ise noted in this Specification, the earliest that the first U tility com pany is to receive the 30 days advance notification to m obilize to the site, w ill be 7 calendar days after the pre-construction m eeting and never sooner than 7 days after the Contract N

TP.

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