CN-550000-ASY89-W0020000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NO. 2

725-090-04A

RAIL

OGC – 1/21

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

443368-4-57-01 US 98 (SR 700) PASCO 14070-2302 N/A

A. 1. The CSX 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, CEI, Flagging Services & Signal Relocation for a Bridge Replacement Project. This Change Order includes any other work deemed necessary for this project.

Crossing 622739D - Milepost AR 835.36

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 12/27/1993 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. 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 & Signals 1 330,000.00 2 Construction, CEI, Flagging & Signals 2 813,000.00

Sub-Totals ………………………………………………………………… $70,000.00 $813,000.00 Net Cost of Construction Changes, this order ………………………... $ $483,000.00 Cost of Construction Changes, previously ordered ………………….. $ $330,000.00 Net Total Cost of Construction Changes, to date…………………………………………….. $813,000.00 Contract Amount ………………………………………………………………………………… $ Estimated Cost of Work Authorized, to date………………………………………………….. $813,000.00

Examined as to provisions and participating items of cost:

Recommended: Approved: Approved:

Date Date Date

District Rail Administrator Kenneth Madden

Director of Transportation Development

Justin Hall Division Administrator N/A

Federal Highway Administration

Docusign Envelope ID: 2D0878F8-1ADC-420B-B4A7-8138463D5322

07/17/2024 | 1:46 PM EDT 07/17/2024 | 1:47 PM EDT

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.

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

ASY89

7/16/2024

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 7/16/2024

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55074010706

Expansion Option: A5

Object Code: 563000

Amount: $483,000.00

Financial Project: 44336835701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2025

Budget Entity: 55150200

Category/Category Year: 088716/25

Amendment ID: W002

Sequence: 00

User Assigned ID: CO#2

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

Total Amount: $483,000.00

Contract: ASY89

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 02/19/2024

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: CO #1 PE Review Construction CEI Flagging 443368-3-57-01

Page1 of 1

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

LEGEND

Existing Right-of-Way

Proposed Right-of-Way Parcels

Curb and Gutter CSX Railroad

Traffic Separator Pavement Removal

Roadway Pavement Bridge

Grass

Proposed Traffic Signal Existing Traffic Signal

US 98

Road Labels Property Labels

Concrete Sidewalk Shared Use Path

US 98 FROM POLK COUNTY LINE

TO US 301

STATE OF FLORIDA

DEPARTMENT OF TRANSPORTATION

CONCEPTUAL PLANPROJECT DEVELOPMENT AND ENVIRONMENT

(PD&E) STUDY

PASCO COUNTY, FLORIDA

ROAD NO.

COUNTY

PASCO

FINANCIAL PROJECT ID

SHEET

NO.

443368-2-22-01

FPID: 443368-1-22-01

I:\TPA\PRJ\000015360\PD&E Study\Engineering\44336822201_PDE\roadway\PLANRD01.dgn8/4/2021 10:49:56 PM DefaultMCIABATTI

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I

N

N

N

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DocuSign Envelope ID: CD59E24E-E1D7-46D3-9376-3AF5AF31BBB2Docusign Envelope ID: 2D0878F8-1ADC-420B-B4A7-8138463D5322

CSX TRANSPORTATION NEW PROJECT INITIATION FORM

Please provide the following information so that CSXT is able to accurately and appropriately process the project setup and billing.

Is this project associated with Federal funds?

Is this project associated with State funds?

Please describe the funding source for this project (i.e. INFRA, Section 130, State, County, Private, etc.).

Project Requirements:

Buy America

Additional procurement restrictions (Please describe below)

State Suspended and Debarred (Note - All federally funded projects are already monitored against the federal sus/deb listings)

Davis-Bacon (Please only check this box if this is a construction project that may be performed by an outside party)

CSX is subject to a state single audit as a recipient or subrecipient of funds (The only states that should apply here are FL or NC. FL must provide completed form DFS-A2-NS.)

Other If you selected Other, please describe below. Only complete this section if this project is associated with Federal and/or State funds.

Project Sponsor Bill To Information

Agency - Sponsor:

Billing Address:

Contact Name:

Phone:

E-mail:

Invoice Delivery Method:

Project Location:

Project Description:

Sponsor Project Ref.

Number (If applicable)

Signature of Applicant* Please sign, this form to the authorized CSX representative.

Name and Title of Applicant

Signature of Applicant Date:

*By signing this form you are authorizing CSXT to incur costs and bill against this project. Should the project be canceled, CSXT will bill the Project Sponsor for the incurred costs. In the event the Project Sponsor is unresponsive for 90 days or more, the project will be closed;

and the Project Sponsor will be final billed for all project costs incurred.

Form Revision 7/ /23

DocuSign Envelope ID: CD59E24E-E1D7-46D3-9376-3AF5AF31BBB2Docusign Envelope ID: 2D0878F8-1ADC-420B-B4A7-8138463D5322

EB3 (FL)

Contracted & Administrative Engineering Services 6,500$

Contracted & Administrative Engineering Services 549,716$

Days @ Days @

126.00% (Transportation Department) 160.00% (Engineering Department) 709,632$

1,153,152$

Temporary (Details Attached) Permanent (Details Attached)

Traffic Control MAN-HRS Remove Existing Crossing MAN-HRS Renew Cross Ties MAN-HRS Renew Rail MAN-HRS Install OTM MAN-HRS Install Field Welds MAN-HRS Install Geo-Textile Fabric MAN-HRS Install Sub-Drains MAN-HRS Install Ballast MAN-HRS Line and Surface MAN-HRS Install Crossing Materials MAN-HRS Install Bituminous Pavement MAN-HRS

MAN-HRS

MAN-HRS

MAN-HRS

Clean-Up MAN-HRS Additive 160.00% -$

EA

EA

Cross-tie - Borate EA

DocuSign Envelope ID: CD59E24E-E1D7-46D3-9376-3AF5AF31BBB2Docusign Envelope ID: 2D0878F8-1ADC-420B-B4A7-8138463D5322

Tie plates Rail, 136RE, New LF Misc. OTM LOT Geo-Textile Fabric RL Sub-Drains LF Ballast - Car load NT Ballast - Trucked in NT Field Welds EA

Concrete Full Width TF Concrete/Rubber Xing (CSX) TF Rubber Crossing, Full Depth TF Timber/Asphalt Crossing (CSX Standard) TF Bituminous Material NT Sales Tax on Material 6.00% Material Handling 15.00% -$

Asphalt Paving (In Place) NT Disposal of Waste Materials TF Maintenance of Traffic DAY

DAY

Rail NT

OTM NT

Material - Shop Construction Labor 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

VAC TRUCK

263,101$

DocuSign Envelope ID: CD59E24E-E1D7-46D3-9376-3AF5AF31BBB2Docusign Envelope ID: 2D0878F8-1ADC-420B-B4A7-8138463D5322

1,972,469$

10.00% 197,247$

2,169,716$ 70,000$

2,099,716$

Agency 2,099,716$ Railroad -$

DocuSign Envelope ID: CD59E24E-E1D7-46D3-9376-3AF5AF31BBB2Docusign Envelope ID: 2D0878F8-1ADC-420B-B4A7-8138463D5322

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: