CN-550000-ASF19-00010000.pdf

725-090-04B

1 RAIL

OGC-07/13

A. 1. The 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:

Amend the existing Agreement between the Florida Department of Transportation and the FEC dated 09/03/2003 to include

Financial Project # for FEC to provide

Preliminary Engineering Plan review FDOT Crossing# 272380J & 272427C RR M.P. 288.422 & 299.65

2. Exhibit A is attached to this Railroad Change Order and made a part of the Original RR Agreement.

3. The items of work covered by this Change Order are referenced to an original Agreement of record dated: and no supplemental Agreement is required.

Track Crossing Surface Signals Flagging X Preliminary Engineering

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

a. N/A ATTACHED

b. N/A INCLUDED IN THE HIGHWAY CONTRACT PLANS

2. Reimbursement for the cost of this Railroad Work is to be in accordance 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.

Item

No.

UNIT

Sub-Totals …………………………………………………………………………………………………………

Net Cost of Construction Changes, this order …………………………………………………..

Cost of Construction Changes, previously ordered …………………………………………..

Net Total Cost of Construction Changes, to date ………………………………………………………………..

Contract Amount ……………………………...…………………………………………………………………………………

Estimated Cost of Work Authorized, to date ………….……………………………………………………………

Recommended: Approved: Approved: N/A

EXEMPTED FROM FHWA REVIEW

District Director of Transportation Division Administrator

FDOT Attorney

Rail Administration Project Manager

Preliminary Engineering

Plan Review

ESTIMATED COST OF WORK DUE TO THIS CHANGE ORDER

ADDITIONAL WORK (+) QTY

AMOUNT

WORK ELIMINATED (-)

QTY AMOUNT

ITEM UNIT PRICE

Development Federal Highway Administration

6,000.00$

6,000.00$ Examined as to provisions and participating items of cost:

Date Date Date

6,000.00$

6,000.00$

6,000.00$

$0.00

Florida East Coast Railway LLC (FEC)

9/3/2003

N/A

FINANCIAL PROJECT NUMBER ROAD NAME OR NUMBER COUNTY NAME PARCEL & R/W NUMBER FAP NUMBER

438387-1-37-01 Hood Road & Hibiscus St.

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NO.

438387-1-37-01 Hood Road & Hibiscus St. Palm Beach

DocuSign Envelope ID: 040A6CFF-22AF-4DFA-A125-584068233487

8/14/2019 | 3:08 PM EDT 8/15/2019 | 12:59 PM EDT

725-090-04B

RAIL

OGC-07/13

FEC 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 SFRTA 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 A

STATE OF FLORIDA

DEPARTMENT OF TRANSPORTATION

OFFICE OF MODAL DEVELOPMENT

DISTRICT 4 RAIL OFFICE

PROJECT SCOPE AND COST ESTIMATE

PROJECT INFORMATION

Financial Project No.: 438387-1-37-01

FAP Number: N/A

Location: Hood Road & Hibiscus St.

County: Palm Beach

Crossing No.: 272380J & 272427C

RR. MP.: 288.422 & 299.65

Company: Florida East Coast Railway LLC (FEC)

This project scope and cost estimate was prepared by: District 4 Railroad

Coordinator’s Office

CO#1 FEC Preliminary Engineering Plan review.………..…….$ 6,000.00

TOTAL ESTIMATED COSTS……………………....……………$ 6,000.00

LOCATION MAP

FEC Corridor

LOCATION: Hood Road & Hibiscus St

FINANCIAL PROJECT NO.: 438387-1-37-01

CROSSING NO.: 272380J & 272427C

RAILROAD MILEPOST: 288.422 & 299.65

N

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

ASF19

8/14/2019

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 8/14/2019

Action: Original

Reviewed or Approved: APPROVED

Organization Code: 55042010429

Expansion Option: AZ

Object Code: 563000

Amount: $6,000.00

Financial Project: 43838713701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2020

Budget Entity: 55100100

Category/Category Year: 088849/20

Amendment ID: O001

Sequence: 00

User Assigned ID:

Enc Line (6s)/Status: 0001/04

Total Amount: $6,000.00

Contract: ASF19

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

Vendor Name: FLORIDA EAST COAST RAILWAY LLC

Vendor ID: F274591805001

Beginning Date of This Agreement: 08/13/2019

Ending Date of This Agreement: 12/31/2024

Contract Total/Budgetary Ceiling: ct = $6,000.00

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: Funding for Preliminary Engineering for FM 438387-1

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To: Marjorie.Hilaire@dot.state.fl.us