CN-550000-ASL10-W0020000.pdf

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Master Agreement FL|ASL10|af55836ae8630ca25c323738f7db6f52
Contract number
ASL10
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Florida

About this file

This document is a Railroad Change Order No. 1 issued by the Florida Department of Transportation (FDOT) to CSX Transportation, Inc., involving a project in Polk County, Florida. The change order is part of a contract between FDOT and Scott Willis Transportation, Inc., with the primary communication coming from Barbara Daugherty, a GEC Rail Project Manager.

The change order authorizes preliminary engineering, flagging, CEI (Construction Engineering and Inspection), and inspection services for constructing a Grade Separation over crossing number 623082F on State Road 655 in Polk County. The total authorized amount is $600,000.00, to be reimbursed using the Force Account Method under Administrative Rule Chapter 14-57. The original agreement was dated May 12, 2021, with the contract period running from January 20, 2021, to January 20, 2036. The change order includes specific requirements for the company, such as utilizing the E-Verify system for employment eligibility and adhering to Buy America requirements for steel and iron manufacturing processes.

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CN-550000-ASL10-00020000.pdf PDF
CN-550000-BE207-00110000.pdf PDF
CN-550000-ASL10-00010000.pdf PDF
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Florida Department of Transportation

RON DESANTIS

GOVERNOR

August 17, 2021

Mr. Scott Willis Transportation, Inc. 500 Water Street SIC (J301) Jacksonville, FL 32202

NOTICE TO PROCEED

FM No.: 436560-1-57-01 Crossing No.: 623082-F Description: SR 655

605 Suwannee Street Tallahassee, FL 32399-0450

RR OP No.: TBD RRMP No.: A 842.10 County: Polk

KEVIN J. THIBAULT,

P.E. SECRETARY

Scott, We are enclosing one (1) fully approved Change Order No. 1, dated August 13, 2021 involving your company in the amount of $600,000.00. The work to be performed will consist of the following:

Preliminary Engineering and other services needed to provide an estimate for Flagging, CEI and Inspection Services to construct a Grade Separation over crossing number 623082F, RRMP# A842.10, SR 655, Polk County. To include any Rail work deemed necessary.

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. Scott Albritton, Central Office Rail MS-25 w/attachment Project File

Improve Safety, Enhance Mobility, Inspire Innovation www.fdot.gov mailto:barbara.daugherty@dot.state.fl.us http://www.dot.state.fl.us/ http://www.fdot.gov/

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NO. 1

725-090-04A

RAIL

OGC – 1/21

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

43656015701 SR 655 Polk 187 (16590-2150) 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:

Preliminary Engineering, Flagging, CEI and Inspection Services to construct a Grade Separation over crossing number 623082F, RRMP# A842.10, SR 655, Polk County. To include any other Rail work deemed necessary.

Project related items that are outside of designated Rail Department activities (such as Right of Way, Contamination, Utilities, etc.) will be handled between each respective CSX and FDOT specialized department under a separate OP number.

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 Original Agreement of record dated 05/12/2021 and no supplemental Agreement is required.

Original Type: Crossing Surface Signals Flagging X Grade Separation

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) 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.

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…………………………………………………..

Examined as to provisions and participating items of cost:

Recommended: Approved: Approved: N/A Date Date Date

Transit Programs Administrator Modal Development Administrator Exempt From FHWA Review

Division Administrator Federal Highway Administration

N/A

ITEM UNIT UNIT

PRICE

WORK ELIMINATED (-)

QTY AMOUNT

ADDITIONAL WORK (+)

QTY AMOUNT

Preliminary Engineering, Flagging, CEI and Inspection Services

600,000.00

$ $600,000.00 $ $600,000.00 $ $0.00

$600,000.00 $0.00

$600,000.00

DocuSign Envelope ID: B55FDE75-F2D9-4A6B-A917-789EC157E4A7

8/12/2021 | 8:21 PM EDT 8/13/2021 | 10:20 AM EDT

725-090-04A

RAIL

OGC – 1/21

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.

OGC – 1/21

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.

OGC – 1/21

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

ASL10

8/6/2021

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 8/6/2021

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55310000933

Expansion Option: AW

Object Code: 563000

Amount: $600,000.00

Financial Project: 43656015701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2022

Budget Entity: 55100500

Category/Category Year: 088808/22

Amendment ID: W002

Sequence: 00

User Assigned ID: CO#1

Enc Line (6s)/Status: 0002/04

Total Amount: $600,000.00

Contract: ASL10

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 01/20/2021

Ending Date of This Agreement: 01/20/2036

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: 436560-1 Recker Hwy Overpass

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:

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