CN-550000-ASE34-W0040000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NO. 2

725-090-04B

RAIL

OGC – 1/21

Financial Project Number Road Name or Number County Name Parcel & R/W Number

FAP

Number

442835-1-57-01 SR 50/Cortez Blvd (Ridge Manor Hernando OLD - 8 (08070-

2105) NEW TBD N/A

A. 1. The CSX Transportation Inc., Company is hereby authorized to observe the following changes in the plans and or specifications to the subject Railroad Agreement, and to perform such work accordingly, further described as:

Replace crossing 625307-P on SR 50 at Ridge Manor, Jacksonville Division, Wildwood Subdivision, S

787.35 with Grade Separated bridges: CSX NGCN #'s. DOT# 973716P (Westbound) and 973726V (Eastbound). This CO is for the PE review, CEI and flagging services for the Grade Separation project at the new bridge crossings. This work order will also cover any other work deemed necessary for the completion of this project.

2. Exhibit A, Exhibit B, and Exhibit C are attached to the Railroad Change Order and made part of the Original Railroad Agreement.

3. The items of work covered by this Change Order are referenced to an Master Agreement of record dated 8/7/1972 and no supplemental Agreement is required.

Master Type: Crossing Surface Signals Preliminary Engineering

B. 1. The Railroad Relocation Work is to conform to that shown by the railroad adjustment plans as:

a. X ATTACHED

b. INCLUDED IN THE HIGHWAY CONTRACT PLANS

2. Reimbursement for the cost of this Railroad Work is to be in accord with the provisions set forth in

Administrative Rule Chapter 14-57 as:

a. NONREIMBURSABLE – Section .011(2)

b. X REIMBURSABLE – Section .011(2)

(1) X Force Account Method

(2) Lump Sum Method

(3) Third Party Contract Method

C. ESTIMATED COST OF WORK DUE TO THIS CHANGE ORDER

ITEM

NO.

ITEM UNIT UNIT

PRICE

WORK ELIMINATED (-)

QTY AMOUNT

ADDITIONAL WORK (+)

QTY AMOUNT

PE Review, CEI & Flagging for 100,000.00 1,049,806.00 Grade Separation Project

Sub-Totals ………………………………………………………………… $100,000.00 $1,049,806.00 Net Cost of Construction Changes, this order ………………………... $ $1,049,806.00 Cost of Construction Changes, previously ordered ………………….. $100,000.00 $100,000.00 Net Total Cost of Construction Changes, to date…………………………………………….. $1,149,806.00 Contract Amount ………………………………………………………………………………… $ Estimated Cost of Work Authorized, to date………………………………………………….. $1,149,806.00

Examined as to provisions and participating items of cost:

Recommended: Approved: Approved: N/A

Date

Exempt From FHWA Review Kenneth Madden

District Rail Coordinator

Richard Moss PE Director of Transportation

Development

Division Administrator N/A Federal Highway Administration

DocuSign Envelope ID: D13CCD77-3DF1-4759-9109-F2CEC1A5DAA8

4/27/2021 | 2:41 PM EDT 4/28/2021 | 9:35 AM EDT

EXHIBIT A

The Company shall:

1. utilize the U.S. Department of Homeland Security’s E-Verify system to verify the employment eligibility of all new employees hired by the Company during the term of the contract; and

2. include an express requirement in any subcontract that subcontractors performing work or providing services pursuant to the state contract utilize the U.S. Department of Homeland Security’s E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract term.

EXHIBIT B

The Company shall:

1. adhere to all Buy America requirements (23 CFR 635.410) to ensure that all manufacturing processes of steel and iron occur in the United States; and

2. ensure that prefabricated items that contain steel must also comply with Buy America; and

3. provide Buy America certifications that include correct language, project information, and the material’s delivery date.

EXHIBIT C

The Company understands:

1. that while FHWA1273 does not apply to force account work performed by rail companies, FHWA-assistance is subject to Title VI (42 U.S.C. § 2000d et seq); and

2. requires appropriate assurances by providing an executed Title VI / Nondiscrimination Assurance, including Appendices A and E.

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

ASE34

4/27/2021

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 4/27/2021

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55074010706

Expansion Option: A5

Object Code: 563000

Amount: $1,049,806.00

Financial Project: 44283515701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2021

Budget Entity: 55150200

Category/Category Year: 088716/21

Amendment ID: W004

Sequence: 00

User Assigned ID: CO#2

Enc Line (6s)/Status: 0004/04

Total Amount: $1,049,806.00

Contract: ASE34

Contract Type: AC - RR CROSSING-PE/INSTAL (RR-XING/PE)

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 05/29/2019

Ending Date of This Agreement: 12/30/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: Funds for PE Review, CEI and flagging services

Page1 of 1

To: Michael.Brown@dot.state.fl.us

ACCT. CODE : 709 - FL2563 Form Revision 09/25/20

ESTIMATE SUBJECT TO REVISION AFTER: 4/21/2022 DOT NO.: 973716P/973726V

CITY: COUNTY: Hernando STATE: FL

ZONE: Florida SUB-DIV: Wildwood MILE POST: S-787.35

AGENCY PROJECT NUMBER: FDOT# 442835-1-57-01

PRELIMINARY ENGINEERING:

212 Contracted & Administrative Engineering Services 20,000$

Subtotal 20,000$

CONSTRUCTION ENGINEERING/INSPECTION:

212 Contracted & Administrative Engineering Services 164,500$

Subtotal 164,500$

FLAGGING SERVICE: (Contract Labor) 70 Labor (Conductor-Flagman) Days @ -$ 50 Labor (Foreman/Inspector) 582 Days @ 504.00$ 293,328$ 70 Additive 137.00% (Transportation Department) -$

50 Additive 148.00% (Engineering Department) 434,125$

Subtotal 727,453$

SIGNAL & COMMUNICATIONS WORK: 31,100$

TRACK WORK: 11,316$

PROJECT SUBTOTAL: 954,369$

900 CONTINGENCIES: 10.00% 95,437$

PROJECT TOTAL: ***************************************************** 1,049,806$

CURRENT AUTHORIZED BUDGET: ***************************************************** -$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 1,049,806$

DIVISION OF COST:

Agency 100.00% 1,049,806$

Railroad 0.00% -$

NOTE: Estimate is based on FULL CROSSING CLOSURE during work by Railroad Forces.

Office of Chief Engineer Public Projects--Jacksonville, Florida

J Brangenberg - STV Approved by: KSW CSXT Public Project Group

DATE: 04/21/21 REVISED: 01/00/00 DATE: 04/21/21

Estimated prepared by:

This estimate has been prepared based on site conditions, anticipated work duration periods, material prices, labor rates, manpower and resource availability, and other factors known as of the date prepared. The actual cost for CSXT work may differ based upon the agency's requirements, their contractor's work procedures, and/or other conditions that become apparent once construction commences or during the progress of the work

Ridge Manor DESCRIPTION: Flagging/CE&I for the SR-50/Cortez Blvd. grade separation project. Construct new Westbound bridge

(973716P), and Eastbound bridge (973726V). Remove existing grade crossing 625307P.

ACCT. CODE : 709 - FL2563 Form Revision Pub EB - FL EB3 (FL) 09/25/20

ESTIMATE SUBJECT TO REVISION AFTER: 4/21/2022 DOT NO.: 973716P/973726V

CITY: COUNTY: Hernando STATE: FL

ZONE: Florida SUB-DIV: Wildwood MILEPOST: S-787.35

DRAWING NO.: __ DRAWING DATE: __

AGENCY PROJECT NUMBER: FDOT# 442835-1-57-01

PRELIMINARY ENGINEERING:

Contracted & Administrative Engineering Services 20,000$

Subtotal 20,000$

CONSTRUCTION ENGINEERING/INSPECTION:

Contracted & Administrative Engineering Services 164,500$

Subtotal 164,500$

FLAGGING SERVICE: (Contract Labor) Labor (Conductor-Flagman) Days @ -$ Labor (Foreman/Inspector) 582 Days @ 504.00$ 293,328$ Additive 137.00% (Transportation Department) -$ Additive 148.00% (Engineering Department) 434,125$

Subtotal 727,453$

COMMUNICATIONS WORK:

Temporary (Details Attached) -$ Permanent (Details Attached) -$

Subtotal -$

TRACK: LABOR

Traffic Control 0 MAN-HRS -$ Remove Existing Crossing 100 MAN-HRS 42.00$ 4,200$ Renew Cross Ties 0 MAN-HRS -$ Renew Rail 0 MAN-HRS -$ Install OTM 0 MAN-HRS -$ Install Field Welds 0 MAN-HRS -$ Install Geo-Textile Fabric 0 MAN-HRS -$ Install Sub-Drains 0 MAN-HRS -$ Install Ballast 0 MAN-HRS -$ Line and Surface 0 MAN-HRS -$ Install Crossing Materials 0 MAN-HRS -$ Install Bituminous Pavement 0 MAN-HRS -$

______________________ 0 MAN-HRS -$

______________________ 0 MAN-HRS -$

______________________ 0 MAN-HRS -$

Clean-Up 0 MAN-HRS -$ Additive 148.00% 6,216$

Per Diem 10 MAN-DAY 90.00$ 900$

Subtotal 11,316$

TRACK: MATERIAL

Cross Ties, Main Line 0 EA -$ Cross tie - pre-plated Not to be used for Public Projects 0 EA -$

DESCRIPTION: Flagging/CE&I for the SR-50/Cortez Blvd. grade separation project. Construct new Westbound bridge (973716P), and Eastbound bridge (973726V). Remove existing grade crossing 625307P.

Ridge Manor

Cross-tie - Borate 0 EA -$ Crossties, 10' Length 0 EA -$ Tie plates 0 EA -$ Rail, 136RE, New 0 LF -$ Misc. OTM 0 LOT -$ Geo-Textile Fabric 0 RL -$ Sub-Drains 0 LF -$ Ballast - Car load 0 NT -$ Ballast - Trucked in 0 NT -$ Field Welds 0 EA -$ ______________________ 0 ___ -$ ______________________ 0 ___ -$ Concrete Full Width 0 TF -$ Concrete/Rubber Xing (CSX) 0 TF -$ Rubber Crossing, Full Depth 0 TF -$ Timber/Asphalt Crossing (CSX Standard) 0 TF -$ Bituminous Material 0 NT -$ Sales Tax on Material 7.00% -$ Material Handling 15.00% -$

Subtotal -$

CONTRACT:

Asphalt Paving (In Place) 0 NT 165.00$ -$ Disposal of Waste Materials 0 TF 15.00$ -$ Maintenance of Traffic 0 DAY 350.00$ -$

Subtotal -$

EQUIPMENT RENTAL: CSX vehicle and equipment rental included in overhead percentage -$

Subtotal Use for extraordinary rental or unique Service Contract -$

WORK TRAIN: 0 DAY 2,100.00$ -$

Subtotal -$

SALVAGE:

Rail 0 NT 65.00$ -$

OTM 0 NT 75.00$ -$

Subtotal -$

SIGNAL WORK:

Material - Field & Consumables -$ Material - Sales Tax -$ Material - Shop -$ Construction Labor 11,050$ Shop Labor -$ Per Diem -$ RR Engineering,Preliminary -$ RR Engineering,Construction 1,658$ Additives to Construction Labor 16,520$ Additives to Shop Labor -$ Additives to Engineering -$ Equipment Expense -$ Waste Management 72$ Contract Engineering 1,800$ Freight -$ AC Power Service -$ Salvage -$ Other -$

Subtotal 31,100$

PROJECT SUBTOTAL: 954,369$

CONTINGENCIES: 10.00% 95,437$

PROJECT TOTAL: ***************************************************** 1,049,806$

CURRENT AUTHORIZED BUDGET: ***************************************************** -$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 1,049,806$

DIVISION OF COST:

Agency 100.00% 1,049,806$

Railroad 0.00% -$

NOTE: Estimate is based on FULL CROSSING CLOSURE during work by Railroad Forces.

Office of Director - CSXT Public Projects, Jacksonville, Florida

Estimated prepared by: J Brangenberg - STV Approved by: KSW Project Manager - Public Projects

DATE: 04/21/21 REVISED: DATE: 04/21/21

This estimate has been prepared based on site conditions, anticipated work duration periods, material prices, labor rates, manpower and resource availability, and other factors known as of the date prepared. The actual cost for CSXT work may differ based upon the agency's requirements, their contractor's work procedures, and/or other conditions that become apparent once construction commences or during the progress of the work

2. Reimbursement for the cost of this Railroad Work is to be in accord with the provisions set forth in Administrative Rule Chapter 14-57 as: