A00808-614090.pdf

Massachusetts Department Of Transportation Highway Division Proposal No. 614090-134822

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DOCUMENT A00808

PROJECT UTILITY COORDINATION FORM

Massachusetts Department Of Transportation Highway Division

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DRAFT

5/18/2026

Revision

Date:

5/22/2026

PRINTED

Yes No Agreement YES NO YES NO UG OH

Liberty Gas

Matthew Sullivan * * Matthew.Sullivan@libertyutilities.com x x x x

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:

Contact Office #

MAIN CONTACT

Cell #

FIELD CONTACT

Email

Non-Reimb'le

CONTACTS AND GENERAL UTILITY INFORMATION

Project Utilities Coordination (PUC) Form

Email

6/13/2026

Scheduled Ad Date: Total Poles Relocated:

Consultant: Contact: Office #

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

*This PUC form is for schedule corrdination only. There is no force account agreement in place as this work is non reimbursable.

Scope, Budget, Duration

Submitted Reimbursement

Utilities

Underground (UG)

/Aerial (OH)

Potential for

District Initiated

Early Relocation *

Utilities On

Bridge/Structure

Cell #

Albin Napit

FALL RIVER National Grid Electric

Fourth Street Over I-195

Resident Engineer: Mass DOT PM: EmailRoute/Street:

RAC614090

Albin.Napit@dot.state.ma.us

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

The information provided is the best available information prior to project advertisement. and the Cities/towns of FALL RIVER , Utility Company

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

Notes x

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Yes No x

Exclusive

Utility on site

Concurrent

Utilities

Contractor

Off-Site

Contractor

Concurrent

C

C o n tr a ct o r

U

U ti lit y

C o

U ti li ty w o rk in g w it h n o o th e r

U ti li ti e s in v ic in y

U ti li ty w o rk h o th e r

U ti li ti e s o n s it e

N o

C o n tr a ct o r p h y si ca l co n st ru ct io n o p e ra ti o n s o n

-s e

(w h il e

U ti li ty i s

C o n tr a ct o r a d li ty a re w o rk

-s it e b u t N

O T t h e s a m v ic in

Stage : 1

Task: 1 u 15 u 2 u 3 u u

Task: 2 c x x u x x u x x u x x u x x u x x u x x u x x

Task: 4 u x x u x x u x x

Task: 5 u x x u x x u x x u x x u x x

Task: 6 c x x u x x u x x u x x u x x u x x u x x u x x u x x

0Sub-Total

Sub-Total 0

UTILITY OPERATIONS - Aerial

Sub-Total UTILITY OPERATIONS - Aerial

Contractor to notify the Utilities 30 days prior to the start of any work.

'Contractor to expose existing sidewalk to allow Gas work

UTILITY OPERATIONS - UNDERGROUND

Liberty Gas

R E

S P

O N

S

IB

LE

P

A R

Y

DESCRIPTION - Utility Relocation Phases, Tasks and Activities

E st im a te d

D u ra ti o n

W o rk

D a y s) b y

U ti li ti e s

(L e a d t im e n o t in cl u d e

Abandon existing 8"CS gas and 12" CS gas Adjust Gas gates

Install approx 50-100ft of Proposed 8"Gas main in 12" carrier pipe

Concurrent / Exclusive Utility Work Access Restraint & Limitations of

Operations Notes

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.

Should an AR be considered for the

Contractor ?

P o te n ti a l A cc e ss R e st ra in t

(Y e s/ N o

R e a so n /N o te o p ti o n a l)

PUC FORM - CONTINUED

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

Sub-Total 0

UTILITY OPERATIONS - Aerial

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Exclusive

Utility on site

Concurrent

Utilities

Contractor

Off-Site

Contractor

Concurrent

C

C o n tr a ct o r

U

U ti lit y

C o

U ti li ty w o rk h n o o th e r

U ti li ti e s in v ic in li ty w o rk h o th e r

U ti li ti e s o n s it e

N o

C o n tr a ct o r p h y si ca l co n st ru ct io p e ra ti o n s o n

-s

(w h il e

U ti li ty i s

C o n tr a ct o r a li ty a re w o rk

-s it e b u t N

O t h e s a m v ic in

Contractor to notify the Utilities 30 days prior to the start of any work.

R E

S P

O N

S

IB

LE

P

A R

Y

DESCRIPTION - Utility Relocation Phases, Tasks and Activities

E st im a te d

D u ra ti o n

W o rk

D a y s) b y

U ti li ti e s

(L e a d t im e n o t in cl u d e

Concurrent / Exclusive Utility Work Access Restraint & Limitations of

Operations Notes

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.

Should an AR be considered for the

Contractor ?

P o te n ti a l A cc e ss R e st ra in t

(Y e s/ N o

R e a so n /N o te o p ti o n a l)

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

* 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.

** Assumed Duration, Not Provided By Utility Company.

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).

"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).

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.

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 #).

IMPORTANT BASIS NOTES - FOR CONTRACTOR

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