CN-550000-ASR93-W0020000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NUMBER 2

725-090-04A

RAIL

OGC – 12/23

Financial Project ID Roadway Description County Roadway ID Contract ID 429251-1-57-01 I-75 (SR 93A) Hillsborough 10075000 ASR93

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:

PE, CEI, Flagging & Construction for Bridge Replacement Project over CSX Rail. This Change Order includes all work deemed necessary to complete this project.

Crossing # 621453G, RRMP: 874.10

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 Original. Agreement of record dated 8/29/1979 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

Construction, CEI & Flagging Construction, CEI & Flagging

$806,319.00 $ $124,857.00

Total amount of work previously authorized………………………………………………………… $806,319.00 Total amount of new work authorized by this change order…………………………………………………………………… $124,857.00 Total amount of work authorized under agreement for this Financial Project ID……………………………………… $931,176.00 PROJECT TOTAL AMOUNT OF WORK AUTHORIZED TO DATE……………………………………………………………………… $931,176.00

Examined as to provisions and participating items of cost:

Recommended: ____________________ Approved: ____________________ Date Date

Kenneth Madden

District 7 Rail Administrator Justin Hall

Director of Transportation Development

DocuSign Envelope ID: AFB9037C-B5C8-455C-8ED0-7796C84759C6

05/01/2024 | 8:16 AM EDT 05/01/2024 | 12:31 PM EDT

725-090-04A

RAIL

OGC – 12/23

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 – 12/23

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 – 12/23

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

ASR93

4/23/2024

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 4/23/2024

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55074010706

Expansion Option: A5

Object Code: 563000

Amount: $124,857.00

Financial Project: 42925115701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2024

Budget Entity: 55150200

Category/Category Year: 088716/24

Amendment ID: W002

Sequence: 00

User Assigned ID: CO#2

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

Total Amount: $124,857.00

Contract: ASR93

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 03/29/2022

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: Funding for Construction for New Bridge Project

Page1 of 1

To: Michael.Pokers@dot.state.fl.us

ACCT. CODE : 709 - FL2896 Form Revision 03/13/24

ESTIMATE SUBJECT TO REVISION AFTER: 12/30/1900 DOT NO.: 621453G, 976908S

CITY: COUNTY: Hillsborough STATE: FL

ZONE: Florida SUB-DIV: Tampa Terminal MILE POST: A-874.10

AGENCY PROJECT NUMBER: 429251-157-01

PRELIMINARY ENGINEERING:

212 Contracted & Administrative Engineering Services -$

Subtotal -$

CONSTRUCTION ENGINEERING/INSPECTION:

212 Contracted & Administrative Engineering Services 350,000$

Subtotal 265,000$

FLAGGING SERVICE: (Contract Labor) 70 Labor (Conductor-Flagman) 0 Days @ 350.00$ -$ 50 Labor (Foreman/Inspector) 88 Days @ 504.00$ 44,352$ 70 Additive 132.80% (Transportation Department) -$

50 Additive 167.90% (Engineering Department) 74,467$

Subtotal 118,819$

SIGNAL & COMMUNICATIONS WORK: -$

TRACK WORK: -$

PROJECT SUBTOTAL: 931,176$

900 CONTINGENCIES: 0.00% -$

PROJECT TOTAL: ***************************************************** 931,176$

CURRENT AUTHORIZED BUDGET: ***************************************************** 806,319$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 124,857$

DIVISION OF COST:

Agency 100.00% 124,857$

Railroad 0.00% -$

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

Office of Chief Engineer Public Projects--Jacksonville, Florida

STV Incorporated Approved by: 0 CSXT Public Project Group

DATE: 01/00/00 REVISED: 01/00/00 DATE: 01/00/00

Tampa DESCRIPTION: Supplement No. 1 for approximately 4 months (July 30) for flagging and oversite. Project completion date January 2025.

I-75 Deck Replacement and new Ramp B over CSXT. .

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