CN-550000-ASR04-W0030000.pdf

725-090-04

RAIL

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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NUMBER 3

Financial Project ID Roadway Description County Roadway ID Contract ID

447431-1-57-01 SR 700 (US 98) Polk 16040000 ASR04

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:

Additional funding for crossing reconstruction, paving, and striping at Crossing 627561Y, RRMP SX 847.49. This change order includes any other work deemed necessary to complete the project.

2. Exhibit A, Exhibit B, and Exhibit C are attached to the Railroad Change Order and made part of the below referenced Railroad Agreement.

3. The items of work covered by this Change Order are referenced to the Master Agreement of record dated 8/7/1972 and no Supplemental Agreement is required.

Agreement Type: Crossing Surface

B. 1. Reimbursement for the cost of this Railroad Work is to be in accord with the provisions set forth in Administrative Rule Chapter 14-57 Section .011(2) as:

a. ☐ NONREIMBURSABLE

b. ☒ REIMBURSABLE

(1) ☒ Force Account Method

(2) ☐ Lump Sum Method

(3) ☐ Third Party Contract Method

C. ESTIMATED COST OF WORK DUE TO THIS CHANGE ORDER

CHANGE

ORDER

DESCRIPTION

PREVIOUSLY

AUTHORIZED WORK

AMOUNT(S)

NEW AUTHORIZED

WORK AMOUNT

PE, CEI, and Flagging Crossing Reconstruction, Engineering, and Flagging Additional Funds for Crossing Reconstruction, Paving, and Striping

$50,000.00 $300,000.00

$111,886.00

Total amount of work previously authorized………………………………………………………… $350,000.00

Total amount of new work authorized by this change order…………………………………………………………………… $111,886.00

Total amount of work authorized under agreement for this Financial Project ID……………………………………… $0.00

PROJECT TOTAL AMOUNT OF WORK AUTHORIZED TO DATE……………………………………………………………………… $461,886.00

Examined as to provisions and participating items of cost:

Recommended: ____________________ Approved: ____________________ Date Date

Wendy Sands Paul Simmons

District Rail Administrator Modal Development Administrator

Docusign Envelope ID: C7603B12-4CE2-43AE-9A5B-582A6A60DF1A

03/31/2025 | 9:56 AM EDT 03/31/2025 | 12:00 PM EDT

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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

ASR04

3/20/2025

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 3/20/2025

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55014010106

Expansion Option: A5

Object Code: 563000

Amount: $111,886.00

Financial Project: 44743115701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2025

Budget Entity: 55150200

Category/Category Year: 088716/25

Amendment ID: W003

Sequence: 00

User Assigned ID: CO#3

Enc Line (6s)/Status: 0004/04

Total Amount: $111,886.00

Contract: ASR04

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 12/15/2021

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: PE for crossing reconstruction and roadway resurfacing

Page1 of 1

To: JJ.Wren@dot.state.fl.us

ACCT. CODE : 709 - FL2860 Form Revision

03/13/24

BUY AMERICA

ESTIMATE SUBJECT TO REVISION AFTER: 3/4/2026 DOT NO.: 627561Y

CITY: COUNTY: Polk STATE: FL

ZONE: Florida SUB-DIV: Auburndale MILE POST: SX 847.49

AGENCY PROJECT NUMBER: FDOT 447431-1-57-01 (ASR04)

PRELIMINARY ENGINEERING:

212 Contracted & Administrative Engineering Services 22,000$

Subtotal 22,000$

CONSTRUCTION ENGINEERING/INSPECTION:

212 Contracted & Administrative Engineering Services 24,333$

Subtotal 24,333$

FLAGGING SERVICE: (Contract Labor)

70 Labor (Conductor-Flagman) 0 Days @ 350.00$ -$

50 Labor (Foreman/Inspector) 15 Days @ 504.00$ 7,560$

70 Additive 132.80% (Transportation Department) -$

50 Additive 167.90% (Engineering Department) 12,693$

Subtotal 20,253$

SIGNAL & COMMUNICATIONS WORK: 5,000$

TRACK WORK: 348,310$

PROJECT SUBTOTAL: 419,897$

900 CONTINGENCIES: 10.00% 41,990$

PROJECT TOTAL: ***************************************************** 461,886$

CURRENT AUTHORIZED BUDGET: ***************************************************** 350,000$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 111,886$

DIVISION OF COST:

Agency 100.00% 111,886$

Railroad 0.00% -$

NOTE: Estimate is based on FULL CROSSING CLOSURE during work by Railroad Forces.

Office of Chief Engineer Public Projects--Jacksonville, Florida

Benesch - CDS Approved by: KSW CSXT Public Project Group

DATE: 02/08/23 REVISED: 03/04/25 DATE: 03/06/25

Estimated prepared by:

This estimate has been prepared based on site conditions, anticipated work duration periods, material prices, labor rates, manpower and resource availability, and other factors known as of the date prepared. The actual cost for CSXT work may differ based upon the agency's requirements, their contractor's work procedures, and/or other conditions that become apparent once construction commences or during the progress of the work

Frostproof

DESCRIPTION: REVISED#2 - US-98 (SR 700): Upgrade crossing surface from rubber and asphalt to concrete panels to accommodate roadway resurfacing done by FDOT. Estimate includes preliminary engineering, construction engineering & inspection, and flagging services, and disposal of asphalt from sawcut, MOT, LEOs, asphalt placement, and thermo markings with dynamic envelope.

ACCT. CODE : 709 - FL2860 Form Revision

Pub EB - FL EB3 (FL) 03/13/24

BUY AMERICA

ESTIMATE SUBJECT TO REVISION AFTER: 3/4/2026 DOT NO.: 627561Y

CITY: COUNTY: Polk STATE: FL

ZONE: Florida SUB-DIV: Auburndale MILEPOST: SX 847.49

DRAWING NO.: __ DRAWING DATE: __

AGENCY PROJECT NUMBER: FDOT 447431-1-57-01 (ASR04)

PRELIMINARY ENGINEERING:

Contracted & Administrative Engineering Services 22,000$

Subtotal 22,000$

CONSTRUCTION ENGINEERING/INSPECTION:

Contracted & Administrative Engineering Services 24,333$

Subtotal 24,333$

FLAGGING SERVICE: (Contract Labor)

Labor (Conductor-Flagman) 0 Days @ 350.00$ -$

Labor (Foreman/Inspector) 15 Days @ 504.00$ 7,560$

Additive 132.80% (Transportation Department) -$

Additive 167.90% (Engineering Department) 12,693$

Subtotal 20,253$

COMMUNICATIONS WORK:

Temporary (Details Attached) -$

Permanent (Details Attached) -$

Subtotal -$

TRACK: LABOR

Remove Existing Crossing 50 MAN-HRS 42.00$ 2,100$

Install Cross Ties 50 MAN-HRS 42.00$ 2,100$

Install Rail, including IJ and transition rail 150 MAN-HRS 42.00$ 6,300$

Install OTM 50 MAN-HRS 42.00$ 2,100$

Flash-Butt Welding 40 MAN-HRS 42.00$ 1,680$

Install Sub-Drains 10 MAN-HRS 42.00$ 420$

Install Ballast 40 MAN-HRS 42.00$ 1,680$

Line and Surface 40 MAN-HRS 42.00$ 1,680$

Install Crossing Materials (Concrete Panels) 100 MAN-HRS 42.00$ 4,200$

Install Joint Bars 100 MAN-HRS 42.00$ 4,200$

Mobilization - Weld Team 40 MAN-HRS 42.00$ 1,680$

Mobilization - Surface Team 320 MAN-HRS 42.00$ 13,440$

Clean-Up 50 MAN-HRS 42.00$ 2,100$

Additive 167.90% 73,339$

Subtotal 117,019$

TRACK: MATERIAL

Cross-tie - Borate (bundles of 16) 80 EA 56.00$ 4,480$

Crossties, 10' Length (bundles of 12)Not to be used for Public Projects 60 EA 55.00$ 3,300$

Pandrol plates (136RE / 132RE) 280 EA 34.00$ 9,520$

Rail, 136RE, New 360 LF 21.00$ 7,560$

Misc. OTM 1 LOT 2,500.00$ 2,500$

Sub-Drains 120 LF 6.00$ 720$

DESCRIPTION: REVISED#2 - US-98 (SR 700): Upgrade crossing surface from rubber and asphalt to concrete panels to accommodate roadway resurfacing done by FDOT. Estimate includes preliminary engineering, construction engineering & inspection, and flagging services, and disposal of asphalt from sawcut, MOT, LEOs, asphalt placement, and thermo markings with dynamic envelope.

Frostproof

Ballast - Trucked in 220 NT 45.00$ 9,900$

Comp Welds (136RE/132RE) 280.8020515.1 2 EA 70.00$ 140$

Flash-Butt Welds 10 EA 100.00$ 1,000$

Transition Rail (136RE/132RE) 013.1361320.1 2 EA 730.00$ 1,460$

Joint Bars (136RE/132RE) 013.3906040.1 16 EA 65.00$ 1,040$

IJs 136RE 013.5000215.1 2 EA 1,050.00$ 2,100$

Concrete Full Width 56.875 TF 250.00$ 14,219$

Sales Tax on Material 7.00% 4,056$

Material Handling 15.00% 8,691$

Subtotal 70,685$

CONTRACT:

Asphalt Paving (RWS) 1 LS 48,930.20$ 48,930$

Assistance, Asphalt Disposal, Sawcut (RWS) 1 LS 15,269.00$ 15,269$

LEOs (RWS) 1 LS 32,370.00$ 32,370$

Thermo & Dynamic (RWS) 1 LS 30,669.10$ 30,669$

Disposal of Waste Materials 220 TF 15.00$ 3,300$

Maintenance of Traffic (RWS) 1 LS 30,068.00$ 30,068$

Subtotal 160,606$

EQUIPMENT RENTAL: CSX vehicle and equipment rental included in overhead percentage -$

Subtotal Use for extraordinary rental or unique Service Contract -$

WORK TRAIN: 0 DAY 2,100.00$ -$

Subtotal -$

SALVAGE:

Rail 0 NT 65.00$ -$

OTM 0 NT 75.00$ -$

Subtotal -$

SIGNAL WORK:

Material - Field & Consumables -$

Material - Sales Tax -$

Material - Shop -$

Construction Labor - Signal Maintainer 5,000$

Shop Labor -$

RR Engineering,Preliminary -$

RR Engineering,Construction -$

Additives to Construction Labor -$

Additives to Shop Labor -$

Additives to Engineering -$

Equipment Expense -$

Waste Management -$

Contract Engineering -$

Freight -$

AC Power Service -$

Salvage -$

Other -$

Subtotal 5,000$

PROJECT SUBTOTAL: 419,897$

CONTINGENCIES: 10.00% 41,990$

PROJECT TOTAL: ***************************************************** 461,886$

CURRENT AUTHORIZED BUDGET: ***************************************************** 350,000$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 111,886$

DIVISION OF COST:

Agency 100.00% 111,886$

Railroad 0.00% -$

NOTE: Estimate is based on FULL CROSSING CLOSURE during work by Railroad Forces.

Office of Director - CSXT Public Projects, Jacksonville, Florida

Estimated prepared by: Benesch - CDS Approved by: KSW Project Manager - Public Projects

DATE: 02/08/23 REVISED: 03/04/25 DATE: 03/06/25

This estimate has been prepared based on site conditions, anticipated work duration periods, material prices, labor rates, manpower and resource availability, and other factors known as of the date prepared. The actual cost for CSXT work may differ based upon the agency's requirements, their contractor's work procedures, and/or other conditions that become apparent once construction commences or during the progress of the work