CN-550000-ASL10-W0030000.pdf

Florida Department of Transportation

RON DESANTIS

GOVERNOR

605 Suwannee Street

Tallahassee, FL 32399-0450

KEVIN J. THIBAULT, P.E.

SECRETARY

March 3, 2022

Mr. Scott Willis

Public Projects Manager

CSX Transportation, Inc.

500 Water Street (J301)

Jacksonville, FL 32202

NOTICE TO PROCEED

RE FPID: 436561-1-57-01 Contract: ASL10

Rail Crossing: 623082F Rail Milepost: A842.10

Roadway: SR 655 (Recker Highway) County: Polk

Dear Mr. Willis, We are enclosing one (1) fully approved Change Order No. 2, dated March 1, 2022, involving CSX

Transportation, Inc. and covering proposed work at $200,000.00. The work to be performed will consist of the following:

Preliminary Engineering, Flagging, CEI and Inspection Services to construct a Grade Separation over crossing 623082F, RRMP# A842.10, SR 655, Polk County. This change order includes any other work deemed necessary to complete the project..

This is to inform you that you are hereby authorized to begin work on the above referenced project under the enclosed Change Order No. 2, effective from the date of execution March 1, 2022. Plan phase reviews will be provided to you and/or your assigned reviewers once available.

If you have any questions or need additional information, feel free to contact us directly at 863-519-2437 or via email at phillip.chapman@dot.state.fl.us.

Sincerely, Phillip Chapman

Rail Projects Coordinator

CC: Wendy Sands, District Rail Administrator

D1 Contract Status Changes

Project File

DocuSign Envelope ID: 36A35AAA-9543-46B4-8928-0025612BB565

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NO. 2

725-090-04A

RAIL

OGC – 1/21

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

Number FAP Number

436560-1-57-01 SR 655 (Recker Hwy) 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. This change order includes any other work deemed necessary to complete the project.

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

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.

ITEM UNIT UNIT

PRICE

WORK ELIMINATED (-)

QTY AMOUNT

ADDITIONAL WORK (+)

QTY AMOUNT

Preliminary Engineering, Flagging, CEI and 600,000.00 200,000.00 Inspection Services

Sub-Totals ………………………………………………………………… $600,000.00 $200,000.00

Net Cost of Construction Changes, this order ………………………... $0.00 $200,000.00

Cost of Construction Changes, previously ordered ………………….. $600,000.00 $600,000.00

Net Total Cost of Construction Changes, to date…………………………………………….. $800,000.00

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

Estimated Cost of Work Authorized, to date………………………………………………….. $800,000.00

Examined as to provisions and participating items of cost:

Recommended: Approved: Approved:

Date Date Date

Wendy Sands

District Rail Administrator

Paul Simmons Modal Development Administrator

Division Administrator

N/A

Federal Highway Administration

DocuSign Envelope ID: 75A9A0BB-DA54-44A1-BCCE-AE8912012612

3/1/2022 | 4:48 PM EST 3/1/2022 | 4:59 PM EST

DocuSign Envelope ID: 36A35AAA-9543-46B4-8928-0025612BB565

725-090-04A

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.

DocuSign Envelope ID: 75A9A0BB-DA54-44A1-BCCE-AE8912012612DocuSign Envelope ID: 36A35AAA-9543-46B4-8928-0025612BB565

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.

DocuSign Envelope ID: 75A9A0BB-DA54-44A1-BCCE-AE8912012612DocuSign Envelope ID: 36A35AAA-9543-46B4-8928-0025612BB565

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.

DocuSign Envelope ID: 75A9A0BB-DA54-44A1-BCCE-AE8912012612DocuSign Envelope ID: 36A35AAA-9543-46B4-8928-0025612BB565

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

ASL10

2/28/2022

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 2/28/2022

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55310000933

Expansion Option: AW

Object Code: 563000

Amount: $200,000.00

Financial Project: 43656015701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2022

Budget Entity: 55100500

Category/Category Year: 088808/22

Amendment ID: W003

Sequence: 00

User Assigned ID: CO#2

Enc Line (6s)/Status: 0003/04

Total Amount: $200,000.00

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

DocuSign Envelope ID: 75A9A0BB-DA54-44A1-BCCE-AE8912012612DocuSign Envelope ID: 36A35AAA-9543-46B4-8928-0025612BB565

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Crossing Number: 623082F - RECKER HWY

Railroad Operating Company: CSX TRANSPORTATION, INC.

Local Street Name: RECKER HWY

Crossing Status: OPEN--TRACK ACTIVE

Last Updated by Maria Overton on

8/16/2021 6:08:04 PM

Safety Index Rank:

Railroad Responsible FRA Field

RR Milepost:

A |

842.1 |

Crossing General 2 log entries available. View Log

Roadway Location

District 1 County (I.3) Polk City (I.4) Auburndale

IN CITY

NEAR CITY

State Route Number (I.6)

SR-655

County Route Number (I.6)

U.S. Route Number (I.6)

Local Street Name (I.5)

RECKER HWY

Railroad Local Street Name

Block Number (I.5) 168

FDOT Bridge Number

Latitude (I.27) 28.054904

Longitude (I.28) -81.8133139 View location in Google Maps

Latitude/Longitude Source (I.29) ACTUAL ESTIMATED

Is Crossing ID Posted? YES NO

Roadway ID Number

12000

Highway Milepoint 6.912

Railway ID Number 16 92901

FDOT GIS RR

Milepoint

842.059

Parcel Number

Humped Crossing

Railroad Ownership

Railroad Operating Company CSX TRANSPORTATION, INC.

Parent Company CSX TRANSPORTATION, INC.

Crossing Owner

Railroad Contact Phone Number 904-359-3100

Railroad Emergency Contact Number

800-232-0144

Roadway Ownership

Crossing Status

OPEN--TRACK ACTIVE

OPEN--TRACK INACTIVE

CLOSED--TRACK REMOVED

CLOSED--ROADWAY REMOVED

Crossing Type (I.17)

PUBLIC PRIVATE

Public Access Allowed?

(I.20) YES NO UNKNOWN

Crossing Purpose (I.18) Highway Vehicle

Crossing Position vs.

Highway (I.19) AT GRADE RR UNDER RR OVER

Maintenance Responsibility

STATE COUNTY CITY PRIVATE

State Annual Maintenance Percentage

Highway System (V.1)

Functional Classification of Road at Crossing (V.2)

Is the crossing on the State Highway System? (V.3) YES NO

Regularly used by Hazmat Vehicles? NO YES

Regular Emergency Services Route? (V.10) NO YES

Is the crossing on the Strategic Intermodal System

(SIS)?

NO YES

Roadway Agency Contact Phone Number (I.35)

850-414-4907

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Map data ©2022 200 ft

28°03'17.7"N 81°48'47.9"W

DocuSign Envelope ID: 75A9A0BB-DA54-44A1-BCCE-AE8912012612DocuSign Envelope ID: 36A35AAA-9543-46B4-8928-0025612BB565