CN-550000-ASU31-W0010000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NO. 1

725-090-04B

RAIL

OGC – 1/21

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

FAP

Number

41685625701 SR 60 Kennedy Blvd HILLSBOROUGH 10080-MISC N/A

A. 1. The CSX Transportation 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:

Construction Funding for Installation of Concrete Tub, CEI, and Flagging. This Change Order will cover any other work deemed necessary during this project.

NGCN: 626304X, RRMP: A883.59

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 Master Agreement of record dated 08/07/1972 and no supplemental Agreement is required.

Master Type: Crossing Surface Signals Preliminary Engineering

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

1 Construction, CEI & Flagging 1 577,503.00

Sub-Totals ………………………………………………………………… $ $577,503.00 Net Cost of Construction Changes, this order ………………………... $ $577,503.00 Cost of Construction Changes, previously ordered ………………….. $ $ Net Total Cost of Construction Changes, to date…………………………………………….. $577,503.00 Contract Amount ………………………………………………………………………………… $ Estimated Cost of Work Authorized, to date………………………………………………….. $577,503.00

Examined as to provisions and participating items of cost:

Recommended: Approved: Approved:

Date

Kenneth Madden

District 7 Rail Administrator

Richard Moss Director of Transportation

Development

Division Administrator N/A Federal Highway Administration

DocuSign Envelope ID: C4C631CD-2F71-4664-A2C7-A8588ECDE0F4

11/8/2022 | 4:37 PM EST 11/8/2022 | 4:50 PM EST

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.

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.

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

ASU31

10/27/2022

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 10/27/2022

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55074010706

Expansion Option: A5

Object Code: 563000

Amount: $577,503.00

Financial Project: 41685625701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2023

Budget Entity: 55150200

Category/Category Year: 088716/23

Amendment ID: W001

Sequence: 00

User Assigned ID: CO#1

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

Total Amount: $577,503.00

Contract: ASU31

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 10/11/2022

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: Crossing Replacement with Concrete Tub

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To: David.Grillo@dot.state.fl.us

ACCT. CODE : 709 - FL2604 Form Revision

01/22/22

ESTIMATE SUBJECT TO REVISION AFTER: 9/19/2023 DOT NO.: 626304X

CITY: COUNTY: Hillsborough STATE: FL

ZONE: Florida SUB-DIV: Tampa Terminal MILE POST: A-883.59

AGENCY PROJECT NUMBER: FPID 416856-2-57-01

PRELIMINARY ENGINEERING:

212 Contracted & Administrative Engineering Services 30,000$

Subtotal 30,000$

CONSTRUCTION ENGINEERING/INSPECTION:

212 Contracted & Administrative Engineering Services 22,200$

Subtotal 22,200$

FLAGGING SERVICE: (Contract Labor)

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

50 Labor (Foreman/Inspector) 5 Days @ 504.00$ 2,520$

70 Additive 137.00% (Transportation Department) -$

50 Additive 160.00% (Engineering Department) 4,032$

Subtotal 6,552$

SIGNAL & COMMUNICATIONS WORK: 5,000$

TRACK WORK: 488,523$

PROJECT SUBTOTAL: 552,275$

900 CONTINGENCIES: 10.00% 55,228$

PROJECT TOTAL: ***************************************************** 607,503$

CURRENT AUTHORIZED BUDGET: ***************************************************** 30,000$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 577,503$

DIVISION OF COST:

Agency 100.00% 577,503$

Railroad 0.00% -$

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

Office of Chief Engineer Public Projects--Jacksonville, Florida

M. Meyer - STV Approved by: KSW CSXT Public Project Group

DATE: 09/19/22 REVISED: 01/00/00 DATE: 09/26/22

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

Tampa

DESCRIPTION: Construction, Engineering, Inspection, and Flagging Services for the installation of a TUB-type crossing surface for Willow Avenue

ACCT. CODE : 709 - FL2604 Form Revision

Pub EB - FL EB3 (FL) 01/22/22

BUY AMERICA

ESTIMATE SUBJECT TO REVISION AFTER: 9/19/2023 DOT NO.: 626304X

CITY: COUNTY: Hillsborough STATE: FL

ZONE: Florida SUB-DIV: Tampa Terminal MILEPOST: A-883.59

DRAWING NO.: __ DRAWING DATE: __

AGENCY PROJECT NUMBER: FPID 416856-2-57-01

PRELIMINARY ENGINEERING:

Contracted & Administrative Engineering Services 30,000$

Subtotal 30,000$

CONSTRUCTION ENGINEERING/INSPECTION:

Contracted & Administrative Engineering Services 22,200$ Subtotal 22,200$

FLAGGING SERVICE: (Contract Labor)

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

Labor (Foreman/Inspector) 5 Days @ 504.00$ 2,520$

Additive 137.00% (Transportation Department) -$

Additive 160.00% (Engineering Department) 4,032$

Subtotal 6,552$

COMMUNICATIONS WORK:

Temporary (Details Attached) -$

Permanent (Details Attached) -$

Subtotal -$

TRACK: LABOR

Traffic Control 0 MAN-HRS 42.00$ -$

Remove Existing Crossing 80 MAN-HRS 42.00$ 3,360$

Renew Cross Ties 400 MAN-HRS 42.00$ 16,800$

Renew Rail 80 MAN-HRS 42.00$ 3,360$

Install OTM 320 MAN-HRS 42.00$ 13,440$

Install Field Welds 0 MAN-HRS 42.00$ -$

Install Geo-Textile Fabric 0 MAN-HRS 42.00$ -$

Install Sub-Drains 0 MAN-HRS 42.00$ -$

Install Ballast 0 MAN-HRS 42.00$ -$

Line and Surface 0 MAN-HRS 42.00$ -$

Install Crossing Materials 0 MAN-HRS 42.00$ -$

Install Bituminous Pavement 0 MAN-HRS 42.00$ -$

______________________ 0 MAN-HRS 42.00$ -$

______________________ 0 MAN-HRS 42.00$ -$

______________________ 0 MAN-HRS 42.00$ -$

Clean-Up 0 MAN-HRS 42.00$ -$

Additive 160.00% 59,136$

Subtotal 96,096$

TRACK: MATERIAL BUY AMERICA

Cross Ties, Main Line (6 Bundles of 16) 96 EA 44.00$ 4,224$

Tie plates (136RE) Not to be used for Public Projects 160 EA 15.00$ 2,400$

Tie plates (Victor 136#) 40 EA 56.00$ 2,240$

Crossties, 10' Length (2 Bundles of 12) 24 EA 55.00$ 1,320$

Tampa

Construction, Engineering, Inspection, and Flagging Services for the installation of a TUB-type crossing surface for Willow Avenue

DESCRIPTION:

Tie plates (115RE) 30 EA 15.00$ 450$

Rail, 136RE, New 480 LF 21.00$ 10,080$

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

Transition Rails 136RE/115RE 4 RL 1,200.00$ 4,800$

Sub-Drains 200 LF 6.00$ 1,200$

Insulated Joints (136RE) 4 EA 1,500.00$ 6,000$

Ballast - Trucked in 300 NT 45.00$ 13,500$

Field Welds (136RE) 8 EA 100.00$ 800$

Field Welds (115RE) 4 EA 100.00$ 400$

Joint Bars (136RE)_ 16 EA 100.00$ 1,600$

Joint Bars (115RE)_ 8 EA 100.00$ 800$

Concrete/Rubber Xing (CSX) 0 TF 200.00$ -$

Rubber Crossing, Full Depth 0 TF 325.00$ -$

Timber/Asphalt Crossing (CSX Standard) 0 TF 42.00$ -$

Bituminous Material 0 NT -$

Sales Tax on Material 7.00% 3,662$

Material Handling 15.00% 7,847$

Subtotal 63,823$

CONTRACT:

TUB Surface 1 LS 328,604.00$ 328,604$

Disposal of Waste Materials 0 TF 15.00$ -$

Maintenance of Traffic 0 DAY 350.00$ -$

Subtotal 328,604$

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: BUY AMERICA

Material - Field & Consumables -$

Material - Sales Tax -$

Material - Shop -$

Construction Labor 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: 552,275$

CONTINGENCIES: 10.00% 55,228$

PROJECT TOTAL: ***************************************************** 607,503$

CURRENT AUTHORIZED BUDGET: ***************************************************** 30,000$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 577,503$

DIVISION OF COST:

Agency 100.00% 577,503$

Railroad 0.00% -$

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

December 22, 2021 - Office of Director - CSXT Public Projects, Jacksonville, Florida

Estimated prepared by: M. Meyer - STV Approved by: KSW Project Manager - Public Projects

DATE: 09/19/22 REVISED: DATE: 09/26/22

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

If ther please describe here:

Not Applicable _____ Florida Single Audit _____ CSX is not subject to the Single Audit.

Federal Audit _____ (Florida Statute 215.97)

Single Audit Status ¹ ² :

CSFA # ³

5) Agency

*Phone:

*Email

Date:

Recipient. The Federal Sub-Recipient and Vendor Determination Checklist is enclosed for reference.

² CFDA Number: If CSX is subject to the Federal Single Audit, please provide the Catalog of Federal Domestic Assistance (CFDA) number.

³ CSFA Number: If CSX is subject to the Florida Single Audit, please provide the Catalog of State Financial Assistance (CSFA) number.

*Please Note: Per 2 CFR 200.425(a), CSXT can recover Federal Audit costs directly through this project.

For Audit related questions, contact GBCompliance@csx.com.

*4) Single Audit Type: Please advise if the project is subject to single audit requirements by completing the appropriate box below (complete only one box).

CSX TRANSPORTATION – GOVERNMENT BILLING DEPT

NEW PROJECT FORM

To ensure compliance with Federal requirements, please provide the following information so that CSXT may accurately and appropriately setup and handle the necessary accounting associated with the proposed project.

*1) Is the project Federally Funded?

*2) Funding Source: If the project is funded by multiple sources please provide the approximate anticipated percentage of the total project cost to be paid by each source.

*3) Project Requirements

Note: This audit is not related to the project specific audit performed by your agency.

Vendor (CFDA # Not Required)

Recipient (CFDA # )

Sub-Recipient (CFDA # )

Signature of Applicant:

Signature of Applicant Please sign, print , and e-mail this form to the authorized CSX representative

*Legal Address (1):

*Name: Federal Award #:

Date of Award:

KNPBAGD

Text Box 11/8/2022

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