CN-550000-ASW61-00020000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NO. 1

725-090-04A

RAIL

OGC – 1/21

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

437825-1-57-01 SR 685/N FLORIDA

AVE HILLSBOROUGH 10020-6515 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:

Installation of Concrete Tub, Pavement Upgrade, PE, CEI & Flagging Services for DowntownTampa Rail Project. This Change Order covers all work deemed necessary for the completion of this project.

Crossing # 626298W - RRMP: A 882.49

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 8/7/1972 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. X ATTACHED

b. 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 Concrete Tub Crossing Replacemen 1 552,641.00 1 575,091.00

Sub-Totals ………………………………………………………………… $552,641.00 $575,091.00 Net Cost of Construction Changes, this order ………………………... $ $22,450.00 Cost of Construction Changes, previously ordered ………………….. $ $552,641.00 Net Total Cost of Construction Changes, to date…………………………………………….. $575,091.00 Contract Amount ………………………………………………………………………………… $ Estimated Cost of Work Authorized, to date………………………………………………….. $575,091.00

Examined as to provisions and participating items of cost:

Recommended: Approved: Approved:

Date Date Date

Kenneth Madden District 7 Rail Administrator

Justin Hall PE Director of Transportation

Development Division Administrator N/A

Federal Highway Administration t

DocuSign Envelope ID: DC03C73C-CE09-4D01-A364-CBBBF28C69A8

12/06/2023 | 12:50 PM EST 12/11/2023 | 9:29 AM EST

725-090-04A

RAIL

OGC – 1/21

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 – 1/21

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 – 1/21

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

ASW61

12/4/2023

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 12/4/2023

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55074010706

Expansion Option: A5

Object Code: 563000

Amount: $12,000.00

Financial Project: 43782515701

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: $12,000.00

Contract: ASW61

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 05/08/2023

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: Concrete Tub, Surface Upgrade, PE, CEI & Flagging

Page1 of 1

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

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

ASW61

12/6/2023

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 12/6/2023

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55074010706

Expansion Option: A5

Object Code: 563000

Amount: $10,450.00

Financial Project: 43782515701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2024

Budget Entity: 55150200

Category/Category Year: 088716/24

Amendment ID: W003

Sequence: 00

User Assigned ID: CO#2

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

Total Amount: $10,450.00

Contract: ASW61

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 05/08/2023

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: Concrete Tub, Surface Upgrade, PE, CEI & Flagging

Page1 of 1

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

ACCT. CODE : 709 - FL2827 Form Revision 12/22/21

BUY AMERICA

ESTIMATE SUBJECT TO REVISION AFTER: 3/21/2024 DOT NO.: 626298W

CITY: COUNTY: Hillsborough STATE: FL

ZONE: Florida SUB-DIV: Tampa Terminal MILE POST: A 882.49

AGENCY PROJECT NUMBER: FDOT 437825-1-57-01 (ASP44)

PRELIMINARY ENGINEERING:

212 Contracted & Administrative Engineering Services 16,500$

Subtotal 16,500$

CONSTRUCTION ENGINEERING/INSPECTION:

212 Contracted & Administrative Engineering Services 18,500$

Subtotal 18,500$

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: 478,576$

PROJECT SUBTOTAL: 525,128$

900 CONTINGENCIES: 10.00% 52,513$

PROJECT TOTAL: ***************************************************** 577,641$

CURRENT AUTHORIZED BUDGET: ***************************************************** 25,000$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 552,641$

DIVISION OF COST:

Agency 100.00% 552,641$

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: 11/15/21 REVISED: 03/22/23 DATE: 04/26/23

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: REVISED: N. Florida Avenue - Tub surface upgrade with asphalt, striping, MOT and LEOs. Includes

PE, CE&I, and flagging coordination services.

ACCT. CODE : 709 - FL2827 Form Revision

Pub EB - FL EB3 (FL) 10/04/21

BUY AMERICA

ESTIMATE SUBJECT TO REVISION AFTER: 12/30/1900 DOT NO.: 626298W

CITY: COUNTY: Hillsborough STATE: FL

ZONE: Florida SUB-DIV: Tampa Terminal MILEPOST: A 882.49

DRAWING NO.: __ DRAWING DATE: __

AGENCY PROJECT NUMBER:FDOT# 437825-1-57-01 (ASP44)

TRACK: MATERIAL BUY AMERICA

220 Cross Ties, Main Line 0 EA 44.00$ -$

220 Cross tie - pre-platedNot to be used for Public Projects 0 EA -$ -$

220 Cross-tie - Borate (Bundles of 16) 128 EA 56.00$ 7,168$

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

220 Pandrol Victor Plates w clips (136RE) 194 EA 34.00$ 6,596$

220 Tie plates 110 EA 10.51$ 1,156$

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

220 Buffer Rail, 115RE, New 120 LF 21.00$ 2,520$

220 Misc. OTM 1 LOT 2,000.00$ 2,000$

210 Geo-Textile Fabric 0 RL 930.00$ -$

210 Sub-Drains 0 LF 6.00$ -$

220 Ballast - Car load 0 NT 12.00$ -$

220 Ballast - Trucked in 252 NT 45.00$ 11,340$

220 Field Welds 4 EA 100.00$ 400$

220 Insulated Joint Premium 136RE 4 EA 1,482.98$ 5,932$

220 Flash Butt Welds 16 EA 200.00$ 3,200$

220 Joint Bars (136RE x 16; 115RE x 16) 32 EA 50.00$ 1,600$

220 Compromise Joint Bar 115RE/100RE 8 EA 230.00$ 1,840$

220 Compromise Rail (136RE/115RE) 4 EA 900.00$ 3,600$

210 Concrete Full Width 0 TF 250.00$ -$

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

210 Rubber Crossing, Full Depth 0 TF 325.00$ -$

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

210 Bituminous Material 0 NT -$

210 Sales Tax on Material 7.00% 3,936$

210 Material Handling 15.00% 8,435$

Subtotal 68,603$

CONTRACT:

215 TUB-Platform (Provided by RW Summers) 1 LS 117,000.00$ 117,000$

215 Asphalt Paving (Provided by RW Summers) 1 LS 65,500.00$ 65,500$

241 Disposal of Waste Materials 340 TF 15.00$ 5,100$

215 MOT / Law Enforcement (Provided by RW Summers) 1 LS 37,740.00$ 37,740$

215 Thermo Striping (Provided by RW Summers) 1 LS 21,715.00$ 21,715$

Subtotal 247,055$

Tampa

DESCRIPTION: Construction estimate to install new 91' concrete TUB surface at N. Florida Avenue, with asphalt, MOT and LEO's.

TAMPA

Highway Speed:

Crossing Angle:

Street Types:

Thru Lanes:

Aux Lanes:

Hazmat Route?

Emergency Services Route?

Emergency Notification Signs:

Crossbuck(4x4 post):

Stop Sign:

Yield Sign:

Low Ground Clearance Signs:

Exempt Signs:

Trespass Signs:

W10-1

W10-2

W10-3

W10-4

W10-11

W10-12

R3-1a

R3-2a

R8-8

R8-9

R8-10

R8-10a

R10-6

R10-6a

R11-2

R15-2P

R15-6

R15-6a

R15-7

R15-7a

R15-8

Pvt Crossing

Look Out

R8-8 w/Beacon

W3-1

W3-3

W8-1

W10-8

W10-9

W10-9P

W10-11a

W10-11b

W10-13P

W10-14P

W10-14aP

W10-15P

Slow

W10-1w/Beacon

LED Signs

Surface Installment Date:

Surface Type:

Surface Condition:

Approach:

Vehicle Reaction:

Driver Reaction:

Rail/Pad Movement:

Maintenance Responsibility:

Roadway Paved:

Tracks run down street?

Sidewalks on Crossing Approach?

Sidewalks Thru Crossing?

Crossing illuminated?

Commerical Power?

Alternative Power?

Number of Bells:

Post Mounted Flashing Lights:

Roadway Gate Count:

Pedestrian Gate Count:

Gates:

Cantilevered Flashing Over Traffic:

Cantilevered Flashing Not Over Traffic:

Intersecting Roadway?

Signalized?

Interconnection:

Preemption:

Traffic Pre-Signals?

8" Count:

12" Count:

LED Count:

Train Speed Range:

Max Time Table Speed:

Day Thru/Switch:

Night Thru/Switch:

Train Service:

Passenger Count/Day:

Train Count Date:

Main Tracks:

Train Signals?

Train Signal Proximity:

Train Detection:

Rank 2018:

Rank 2017:

Rank 2016:

SR No.:

CR No.:

US No.:

Latitude:

Longitude:

RR Company:

Division Name:

Subdivision Name:

Branch Name:

RR Milepost:

Recommended Warning Device:

Incident History:

IN CITY

PUBLIC AT GRADE Commercial

60-90 DEG

NO

YES

YES

NO

A = No reaction

A = No reaction

A = Smooth

A = Smooth

ASPHALT

EXCELLENT

SR-685

US-41B

A 301

882.49

TAMPA TERMINAL

JACKSONVILLE

CSX

10-10

1/1

NO

NO

DC

For Traffic Signals

SIMULTANEOUS PREEMPTION

NO

YES

YES

YES

YES

NO

STATE

YES

YES

YES

YES

03/31/2011

District: 7RR Street: Roadway: N FLORIDA AVECrossing No: 626298W County: Hillsborough

Crossbuck Sign: 0

Install - Upgrade: -- 01/01/1952 Pvmt Mrk:

8000 (2021)AADT:

Percent Trucks:

School Buses:

3 (2021)

13 (2021)

27.951000

-82.460000

CFL&G&P

Other Tracks:

City: OPEN--TRACK ACTIVE

Event Recorder? N

Traffic Signals Controlling?

LED

(1) Spur/Lead

Team Members: David Grillo -

FDOT District Rail

Mike Brown - FDOT

Scott Willis - CSX

Jordan Eady - FDOT Central

Office

3 Others CSX

Date: 05/05/2021

Team Recommendations: Key Downs

Cable

Crossbucks

Field Review Comments: Tree Blocking Motorists View of Crossing & Signs

Freight

HWY

NODoes traffic queue across the tracks?

DocuSign Envelope ID: F93BA06B-6920-4935-909B-5DBA63035CED

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.

437825-1 - SR 685 North Florida Avenue at RR Crossing 626298W

* 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

No

If multiple or other please describe here:

DOR - District Dedicated Revenue - State Funds - 80%

DS - State Primary HiQhwavs & PTO - State Funds - 20%

[Z] Procurement Restrictions (e.g. Buy America(n), Buy State, US Steel) D Procurement Restrictions Waiver

D Suspended / Debarred

D Davis-Bacon Act DE-Verify D Other, please descibe here

*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).

Not Applicable ! ./ I CSX is not subject to the Single Audit.

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

Federal Audit D Please Specify D 0MB Circular A-133

D Uniform Guidance

Single Audit Status 1 2 :

D Vendor (CFDA # Not Required)

D Recipient (CFDA # ... I ___ __.b

D Sub-Recipient (CFDA # ! b

Florida Single Audit D (Florida Statute 215.97)

CSFA# 3 -I _______ �

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

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

3 CSFA Number: IfCSX 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.

5) Agency Bill To Information

*Name:

*Legal

Address (1):

*Phone:

*Email

Federal Florida Department of Transportation

Award#:

11201 N. McKinley Drive; MS 7-501, Tampa, Florida 33612 Date of

Award:

813-975-6407 ken neth. madden@dot. state. fl. us

N/A

N/A

05/11/2023