CN-550000-ASK91-W0010000.pdf

Florida Department of Transportation

RON DESANTIS

GOVERNOR

605 Suwannee Street

Tallahassee, FL 32399-0450

KEVIN J. THIBAULT, P.E.

SECRETARY

Improve Safety, Enhance Mobility, Inspire Innovation www.fdot.gov

January 21, 2021

Mr. Scott Willis

CSX Transportation, Inc. 500

Water Street SIC (J301)

Jacksonville, FL 32202

NOTICE TO PROCEED

FM No.: 441535-1-57-01 RR Crossing No.: 624717K

Description: SR 64

Scott, RR OP No.: TBD

RRMP No.: AZA 916.30

County: Manatee

We are enclosing one (1) fully approved Change Order No. 1, dated January 21, 2021 involving your company in the amount of $75,000.00. The work to be performed will consist of the following:

Preliminary Engineering and Flagging during a resurfacing project at crossing number 624717K, RRMP# AZA 916.30, SR 64, Manatee County. There is no work within the Railroad Right of Way, but resurfacing equipment will need to cross the tracks. There are approach slabs on both sides of the crossing.

Should you have any questions or need additional information, please let us know. I can be reached at 863/519-2437 or barbara.daugherty@dot.state.fl.us

Sincerely, Barbara Daugherty

GEC Rail — Project Manager

BDW/bdw enc.

c.c. Central Office Rail MS-25 w/attachment Project File

DocuSign Envelope ID: 2FB0C538-E133-453E-83A2-E339755F937E mailto:barbara.daugherty@dot.state.fl.us

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAIL

RAILROAD CHANGE ORDER NO. 1

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

44153515701 SR 64 Manatee 1 (13050-XNGL) 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:

B.

Preliminary Engineering and Flagging during a resurfacing project at crossing number 624717K, RRMP# AZA 916.30, SR 64, Manatee County.

2. Exhibit A is attached to the 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 Agreement of record dated 08/07/1972 and no supplemental Agreement is required.

Original Type: Crossing Surface Signals Flagging

C. 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) X Force Account Method

(2) Lump Sum Method

(3) Third Party Contract Method

D. ESTIMATED COST OF WORK DUE TO THIS CHANGE ORDER

ITEM

NO.

ITEM UNIT UNIT

PRICE

WORK ELIMINATED (-)

QTY AMOUNT

ADDITIONAL WORK (+)

QTY AMOUNT

PE and Flagging for a resurfacing project 75,000.00

Sub-Totals ………………………………………………………………… $ $75,000.00

Net Cost of Construction Changes, this order ………………………... $ $75,000.00

Cost of Construction Changes, previously ordered ………………….. $ $0.00

Net Total Cost of Construction Changes, to date…………………………………………….. $75,000.00

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

Estimated Cost of Work Authorized, to date………………………………………………….. $75,000.00

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

1/21/2021 | 1:45 PM EST 1/21/2021 | 1:53 PM EST

RAIL

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.

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

ASK91

1/21/2021

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 1/21/2021

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55014010106

Expansion Option: A5

Object Code: 563000

Amount: $75,000.00

Financial Project: 44153515701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2021

Budget Entity: 55150200

Category/Category Year: 088716/21

Amendment ID: W001

Sequence: 00

User Assigned ID: CO#1

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

Total Amount: $75,000.00

Contract: ASK91

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 01/13/2021

Ending Date of This Agreement: 01/13/2028

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: 441535-1 - Flagger needed for resurfacing project

Page1 of 1

To: Barbara.Daugherty@dot.state.fl.us

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: