CN-550000-ASF30-00010000.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 Master Flagging Agreement between the Florida Department of Transportation and the South Florida Regional Transportation Authority (SFRTA) dated 03-12-2015 to include

Financial Project # for SFRTA to provide

Flagging services for this project. FDOT Crossing# RR MP: SX 1003.9

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

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

Master Type: Crossing Surface Signals X Flagging

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 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.

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 Development Division Administrator

FDOT Attorney

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NO.

440746-1-57-01 Hammondville Rd Broward 12.R (86130-2201)

South Florida Regional Transportation Authority

3/12/2015

TGER-003-A

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

628171P

440746-1-57-01 Hammondville Rd

Date Date

50,000.00$

50,000.00$

50,000.00$

$0.00

District Rail Coordinator Federal Highway Administration

50,000.00$

50,000.00$ Examined as to provisions and participating items of cost:

Date

Flagging and

CE&I Services

ESTIMATED COST OF WORK DUE TO THIS CHANGE ORDER

ADDITIONAL WORK (+)

QTY AMOUNT

WORK ELIMINATED (-)

QTY AMOUNT

ITEM UNIT PRICE

DocuSign Envelope ID: 9CD4D547-DB79-4480-A239-D2379BA25B78

9/4/2019 | 2:05 PM EDT 9/8/2019 | 8:43 PM EDT

725-090-04B

RAIL

OGC-07/13

The SFRTA 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.: 440746-1-57-01

FAP Number: TGER-003-A

Location: Hammondville Road

County: Broward

Crossing No.: 628171P

RR. MP.: 1003.90

Company: South Florida Regional Transportation

Authority

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

Coordinator’s Office

CO#1 SFRTA flagging.………..…….$ 50,000.00

TOTAL ESTIMATED COSTS……………………....……………$ 50,000.00

LOCATION MAP

South Florida Rail Corridor

LOCATION: Hammondville Road

FINANCIAL PROJECT NO.: 440746-1-57-01

CROSSING NO.: 628171P

RAILROAD MILEPOST: 1003.90

N

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

ASF30

8/26/2019

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 8/26/2019

Action: Original

Reviewed or Approved: APPROVED

Organization Code: 55042010429

Expansion Option: A8

Object Code: 134000

Amount: $50,000.00

Financial Project: 44074615701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2020

Budget Entity: 55150200

Category/Category Year: 088717/20

Amendment ID: O001

Sequence: 00

User Assigned ID:

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

Total Amount: $50,000.00

Contract: ASF30

Contract Type: AD - RR CROSSING-MAINT (RR-XING/MT)

Vendor Name: SOUTH FLORIDA REGIONAL TRANSPOR

Vendor ID: F650002789001

Beginning Date of This Agreement: 08/23/2019

Ending Date of This Agreement: 12/31/2029

Contract Total/Budgetary Ceiling: ct = $50,000.00

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: Flagging

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