CN-550000-ASU53-W0020000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NUMBER 2

725-090-04B

RAIL

OGC – 12/23

Financial Project ID Roadway Description County Roadway ID Contract ID 445920-1-57-01 US 301/SR 43 from N of

Bloomingdale Ave to S of MLK Blvd

Hillsborough 10010000 ASU53

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 review of plans for resurfacing work adjacent to CSX ROW.

Crossing #624364A, RRMP A876.21 Crossing #624463X, RRMP S838.92

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 9/15/1998 and no Supplemental Agreement is required.

Agreement Type: Preliminary Engineering

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 Review Additional Funds for PE Review & Flagging

$50,000.00 $15,000.00

$15,000.00

Total amount of work previously authorized………………………………………………………… $50,000.00 Total amount of new work authorized by this change order…………………………………………………………………… $15,000.00 Total amount of work authorized under agreement for this Financial Project ID……………………………………… $0 PROJECT TOTAL AMOUNT OF WORK AUTHORIZED TO DATE……………………………………………………………………… $65,000.00

Examined as to provisions and participating items of cost:

Recommended: ____________________ Approved: ____________________ Date Date

Justin Hall Director of Transportation Development

Kenneth Madden

District 7 Rail Administrator

Docusign Envelope ID: 394D021D-147F-4351-A711-5461E10EFF86

11/19/2024 | 4:02 PM EST 11/19/2024 | 5:50 PM EST

725-090-04A

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

ASU53

11/15/2024

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 11/15/2024

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55074010706

Expansion Option: A8

Object Code: 563000

Amount: $15,000.00

Financial Project: 44592015701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2025

Budget Entity: 55150200

Category/Category Year: 088797/25

Amendment ID: W002

Sequence: 00

User Assigned ID: CO#2

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

Total Amount: $15,000.00

Contract: ASU53

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 10/24/2022

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: RFA for Resurfacing Project Crossing CSX Rail

Page1 of 1

To: Sandra.Guerrero@dot.state.fl.us

Page of

ACCT. CODE : 709 - FL3069 Form Revision

03/13/24

BUY AMERICA

ESTIMATE SUBJECT TO REVISION AFTER: 10/28/2025 DOT NO.: Various

CITY: COUNTY: Hillsborough STATE: FL

ZONE: Florida SUB-DIV: Yeoman MILE POST: Various

AGENCY PROJECT NUMBER: FDOT 445920-1-57-01 (ASU53)

PRELIMINARY ENGINEERING:

212 Contracted & Administrative Engineering Services 13,000$

Subtotal 13,000$

CONSTRUCTION ENGINEERING/INSPECTION:

212 Contracted & Administrative Engineering Services 32,100$

Subtotal 32,100$

FLAGGING SERVICE: (Contract Labor)

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

50 Labor (Foreman/Inspector) 10 Days @ 504.00$ 5,040$

70 Additive 132.80% (Transportation Department) -$

50 Additive 167.90% (Engineering Department) 8,462$

Subtotal 13,502$

SIGNAL & COMMUNICATIONS WORK: -$

TRACK WORK: -$

PROJECT SUBTOTAL: 58,602$

900 CONTINGENCIES: 10.00% 5,860$

PROJECT TOTAL: ***************************************************** 64,462$

CURRENT AUTHORIZED BUDGET: ***************************************************** 50,000$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 14,462$

DIVISION OF COST:

Agency 100.00% 14,462$

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 Approved by: KSW CSXT Public Project Group

DATE: 10/28/24 REVISED: DATE: 11/01/24

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: SR 43 (US 301): Preliminary Engineering, Construction Engineering and Inspection, and Flagging

Services for roadway resurfacing at crossing locations above CSXT by FDOT - 624364A (A 876.21) and 624463X (S 838.92).