CN-550000-ASF88-W0050000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NO. 04

725-090-04B

RAIL

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

Number

FAP

Number

43982615701 SR 555 at Spirit Lake Road Polk 1(16030-6106) N/A

A. 1. The Florida Midland Railroad, 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:

Funds for Critical Safety improvemets needed for R/R crossing #623052N, RRMP #AW846.78 and Crossing #623053V, RRMP #AW846.80 at Spirit Lake Road and US 17, Bartow, Polk County, Florida.

Crossing #623052N work to include Rail Seal removal, Cleanout, and replacement of original Rail seal and MOT needed. Crossing #623053V work to include Rail Seal replacement and cleanout. Includes any other Railroad work deemed necessary for the 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

2-22-1988 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. ATTACHED

b. X 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) 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

Critical Safety Improvements, 369,000.00 100,000.00 Rail Seal replacement, Crossing cleanout.

Sub-Totals ………………………………………………………………… $369,000.00 $100,000.00

Net Cost of Construction Changes, this order ………………………... $100,000.00 $100,000.00

Cost of Construction Changes, previously ordered ………………….. $369,000.00 $369,000.00

Net Total Cost of Construction Changes, to date…………………………………………….. $469,000.00

Contract Amount ………………………………………………………………………………… $0.00

Estimated Cost of Work Authorized, to date………………………………………………….. $469,000.00

Examined as to provisions and participating items of cost:

Recommended: Approved: Approved:

Date Date Date

District Rail Administrator Modal Development Administrator Division Administrator

N/A

Federal Highway Administration x

DocuSign Envelope ID: 859532A2-2B0E-462C-BEB1-DB51404525A0

9/16/2022 | 2:39 PM EDT 9/19/2022 | 8:04 AM EDT

725-090-04B

RAIL

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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.

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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.

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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

ASF88

9/16/2022

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 9/16/2022

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55014010106

Expansion Option: A5

Object Code: 563000

Amount: $100,000.00

Financial Project: 43982615701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2023

Budget Entity: 55150200

Category/Category Year: 088716/23

Amendment ID: W005

Sequence: 00

User Assigned ID: CO#4

Enc Line (6s)/Status: 0005/04

Total Amount: $100,000.00

Contract: ASF88

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

Vendor Name: FLORIDA MIDLAND RAILROAD CO, LL

Vendor ID: F581758851001

Beginning Date of This Agreement: 11/13/2019

Ending Date of This Agreement: 11/13/2029

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: 439826- Florida Midland, US 17, Polk County

Page1 of 1

To: Phillip.Chapman@dot.state.fl.us

FLORIDA CENTRAL RAILROAD CO LLC

FLORIDA MIDLAND RAILROAD CO LLC

FLORIDA NORTHERN RAILROAD LLC

3001 W Orange Ave Apopka Fl 32703 · PO Box 967 Plymouth Fl 32768 · 407-880-8500

FDOT District 1 Rail Projects Coordination August 19, 2022 Phil Chapman/Kyle

On behalf of our contractor, Florida Midland Railroad is pleased to submit the following quotation to perform repairs at the Spirit Lake Rd MBM crossing in Bartow Fl. DOT# 623052N RR milepost AW 846.78

• Phase 1 - Repairs performed during current road closure.

Repairs to the crossing going into Bartow Airbase only. Epoxy grout patching of the damaged edge so that the concrete approach slab has clean edge to be poured against.

$2,745.00

• Phase 2 - Repairs performed after concrete slab is poured and prior to road opening.

Remove existing rubber from both crossing on Spirit Lake Rd, clean trough of debris, pressure wash trough and re-install existing rubber. Remove and dispose of existing rubber flangeway material. Clean out trough. Pressure wash trough. Install new rubber flangeway material. Lead time for the rubber flangeway material is 3-5 weeks ARO.

$3,372.00

Flagging, if deemed necessary, is at additional cost. $1250/8hours and $235/hour overtime All trackwork to be in accordance with the current Track Standards.

TOTAL COST: $6,117.00

Best Regards, Manager of RE/Contracts

FLORIDA CENTRAL RAILROAD CO LLC

FLORIDA MIDLAND RAILROAD CO LLC

FLORIDA NORTHERN RAILROAD LLC

3001 W Orange Ave Apopka Fl 32703 · PO Box 967 Plymouth Fl 32768 · 407-880-8500

FDOT District 1 Rail Projects Coordination August 19, 2022 Phil Chapman/Kyle

On behalf of our contractor, Florida Midland Railroad is pleased to submit the following quotation to perform repairs at the US 17 MBM crossing in Bartow Fl. DOT# 623053V RR milepost AW 846.8

• Epoxy grout patching of the damaged edge so that the concrete approach slab has clean edge to be poured against. $6,360.00

• Crossing extension, one lane in the median asphalt area will be required to be closed for this work to be performed Sawcut and remove asphalt. Install 10 each 10’ ties. Hand tamp ties. Install 8.125 TF of OMNI concrete panels (or similar) Install concrete expansion joint material between the MBM Crossing Systems panel and the Omni panel. Install asphalt as needed. Lead time for the OMNI concrete panel is 7-10 days ARO.

$11,350.00

• Remove and dispose of existing rubber flangeway material. Clean out trough. Pressure wash trough. Install new rubber flangeway material. Lead time for the rubber flangeway material is 3- 5 weeks ARO.

$73,060.00

Repairs performed half at a time when each direction (North Bound and South Bound) are closed.

Road closures performed by Roadway contractor at no cost to Railroad or its Contractor

TOTAL COST: $90,770.00

Best Regards, Manager of RE/Contracts

_KNAKNPP-ASF88-W005-DIST-01-20220916-110931-KNAKNPP@dot.state.fl.us-Phillip-Chapman