CN-550000-ASZ87-W0010000.pdf

PDF 2 MB Posted May 2, 2024

Attached to: Master Agreement FL|ASZ87|aa6ba2f286599adc6c5727aea1f146d4
Contract number: ASZ87
Issued by: Florida

About this file

Written by GovTribe AI · Oct 8, 2025

This document is a Utility Master Agreement between the Florida Department of Transportation (FDOT) and the City of Lakeland Department of Water Utilities (UAO), establishing a framework for utility relocation work related to a transportation project on State Road 572 in Polk County, Florida. The agreement is structured to facilitate utility facility adjustments, relocations, and accommodations during highway construction and improvement projects.

The contract covers utility work for relocating water utilities within a public easement, with an estimated total cost of $108,428.86 reimbursable through force account method. The utility work is associated with project FPID 438013-1-52-01, spanning the section of SR 572 from Drane Field Road to Pipkin Creek Road. The project is scheduled to be let to construction on June 6, 2024, with utility relocation work to be completed no later than August 5, 2024. The agreement provides guidelines for work performance, invoicing, cost reimbursement, and mutual responsibilities of FDOT and the City of Lakeland Water Utilities throughout the utility relocation process.

View the file

Other files

File	Type	Posted
CN-550000-CAB15-00110000.pdf	PDF	May 2, 2024

On GovTribe

Work with this file

Download the original file
Contacts named in this file
Similar government files
Ask GovTribe AI about this file

Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

Florida Department of Transportation

RON DESANTIS

GOVERNOR

801 N. Broadway Avenue

Bartow, Fl. 33830-3809

JARED W. PERDUE, P.E.

SECRETARY

Improve Safety, Enhance Mobility, Inspire Innovation www.fdot.gov

May 7, 2024

Approved Reimbursable Change Order Notice

City of Lakeland Water Utilities

Mr. Robert Kniss, P.E.

501 E. Lemon St. W-Admin/Eng

Lakeland, FL 33801

RE: FPID : 438013-1-52-01

UAO FPID : 438013-1-56-11

County : Polk

SR : 572

Description : SR 572 FROM DRANE FIELD RD TO PIPKIN CREEK RD

Dear Mr. Kniss:

The enclosed Reimbursable Change Order No. 1 to the City of Lakeland Water Department of Water

Utilities Utility Master Agreement has been approved by the Department. This project is scheduled to be let to construction on June 6, 2024. You are advised to proceed with your utility work as depicted in the approved Utility Work Schedule.

All relocation work must be performed in accordance with Department regulations. Final billing must be documented to support the actual work accomplished as specified by Department Procedure 710-

010-130 Utility Invoicing and or any supplemental revisions. All scrap materials will be subject to full salvage credit unless officially released by the Department.

All permits required for your agency to perform the relocation work included in your agency’s approved

UWS shall be obtained 30 days prior to your agency beginning the relocation work. All utility work listed as “prior to construction” on Section A and Section C of the approved Utility Work Schedule must be completed no later than August 5, 2024, subject to the events beyond the control of the UAO as stated in Section A of this Utility Work Schedule.

This work will need to be coordinated under the direction of the Department’s local Operations Center

Engineer and must be performed in accordance with Department regulations. The actual utility work time charges are to begin on or before the FDOT contractor’s first chargeable contract day and in conjunction with your approved utility work schedule.

DocuSign Envelope ID: 5A9D0CFC-58C0-4AFB-BF7C-34984FCE877E

Improve Safety, Enhance Mobility, Inspire Innovation www.fdot.gov

Any changes, revisions, deletions, or additions to the approved utility work schedule must be documented and approved by the Department.

If I can be of further assistance, please contact me at 863.519.2418 or by email to joseph.glorioso@dot.state.fl.us.

Sincerely, Joseph Glorioso District One Utilities Office

For M. Wayne Shelton

District Utility Administrator

By: Joseph Glorioso

Utility Project Manager

Enclosures on PSEE

Approved Utility Work Schedule cc: Randy Lachler, P.E., Design Project Manager/Engineer of Record

Kevin Morrisey, P.E., Operations Construction Engineer

Frank Rodriguez, Operations Utility Construction Coordinator

Cyntrena Durant, Utility Invoice Manager

Chris Stafford, Utility Coordinator

Project File

Approved Reimbursable UWS With CO # 1 to UAO

Revised: 4-26-21 mailto:joseph.glorioso@dot.state.fl.us

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

UTILITY WORK ORDER CHANGE NO. 1

Financial Project ID: 438013-1-56-11 Federal Project ID: N/A

County: POLK State Road No.: 572

District Document No: 1

Utility Agency/Owner (UAO): City of Lakeland Department of Water Utilities

1. The Agency is hereby authorized to observe the following changes in the plans and/or specifications to the subject Utility Agreement dated 06/29/2000. CO No. 1 to City of Lakeland Water Department of Water Utilities Utility Master Agreement for relocation required to mitigate conflict within public easement within project FPID 438013-1-52-01. Such changes include the attached Appendix A incorporated by reference.

2. The items of work covered by this Work Order Change are referenced to an Agreement of record dated 06/29/2000, all the terms of the Agreement noted remain the same, and no Supplemental Agreement is required.

1. The Utility Relocation Work is to conform to that shown by the utility adjustment plans as:

a.☐ ATTACHED.

b.☒ INCLUDED IN THE HIGHWAY CONTRACT PLANS.

2. The cost of this Utility Work is:

a.☐ NONREIMBURSABLE b.☒ REIMBURSABLE

(1) ☒ Force Account Method

(2) ☐ Lump Sum Method

(3) ☐ Third Party Contract Method

ESTIMATED COST OF WORK DUE TO THIS CHANGE:

WORK ELIMINATED (-) ADDITIONAL WORK (+)

ITEM NO. ITEM UNIT UNIT PRICE

QUANTITY AMOUNT QUANTITY AMOUNT

438013-1-56-11 UWE 04/23/2024 $108,429.00

Sub-Totals............................................................................................... $108,429.00

Net Cost of Construction Changes, this order......................................... $0.00

Cost of Construction Changes, previously ordered................................. $0.00

Net Total Cost Construction Changes to Date........................................ $0.00

Contract Amount...................................................................................... $108,429.00

Estimated Cost of Work Authorized to Date............................................ $108,429.00

The terms of this Utility Work Order Change shall be binding upon the date of the last signature below:

Approved Date: Approved Date: Approved Date: Approved Date:

Signature: District Utility Coordinator

Signature: Utility Agency Representative

Signature: District Utility Engineer/Administrator

Signature: Division Administrator Federal Highway Administration

Joseph Glorioso Robert Kniss M Wayne Shelton N/A Typed Name Typed Name Typed Name Typed Name

DocuSign Envelope ID: E9F205A2-DF67-4956-8385-27E6B8DBB440

04/24/2024 | 4:05 PM EDT 04/26/2024 | 5:58 PM EDT

05/07/2024 | 4:26 PM EDT

REQUIRED CONTRACT PROVISIONS FOR FEDERAL AID CONTRACTS

(Appendix A of Assurances)

710-010-08

UTILITIES

Financial Project ID: 438013-1-56-11 Federal Project ID: N/A

County: Polk State Road No.: 572

District Document No: 1

Utility Agency/Owner (UAO): City of Lakeland Department of Water Utilities

During the performance of this Agreement, the Utility Agency Owner (UAO), for itself, its assignees and successors in interest (hereinafter referred to as the UAO), agrees as follows:

(1) Compliance with Regulations: The UAO will comply with the Regulations of the FLORIDA DEPARTMENT OF TRANSPORTATION (hereinafter referred to as the DEPARTMENT) relative to nondiscrimination in Federally-assisted programs of the DEPARTMENT (Title 49, Code of Federal Regulations, Part 21, hereinafter referred to as the "Regulations"), which are herein incorporated by reference and made a part of this contract.

(2) Nondiscrimination: The UAO, with regard to the work performed by it after award and prior to completion of the UAO work, will not discriminate on the ground of race, color or national origin in the selection and retention of subcontractors, including procurement of materials or leases of equipment. The UAO will not participate either directly or indirectly in the discrimination prohibited by Section 21.5 of the Regulations, including employment practices when the contract covers a program set forth in Appendix A & B of the Regulations.

(3) Solicitations: In all solicitations either by competitive bidding or negotiation made by the UAO for work to be performed under a subcontract, including procurement of materials and leases of equipment, each potential subcontractor or supplier shall be notified by the UAO of the UAO's obligations under this contract and the Regulations relative to nondiscrimination on the ground of race, color or national origin.

(4) �Buy America� Requirements: The UAO will use domestic steel and/or iron products incorporated into the finished work in compliance with the Buy America provisions of 23 CFR 635.410 as amended. As used in this provision, �steel and/or iron products� means manufactured products that are predominately steel and/or iron products and that are not otherwise exempt from Buy America requirements pursuant to rules and regulations of the Federal Highway Administration. As used in this provision, �domestic� means products that are manufactured in the United States which have not undergone any manufacturing process outside of the United States that modified the chemical content, physical shape or size, or final finish of a product, beginning with the initial melting and continuing through final shaping and coating. If a steel and/or iron product is taken outside the United States for any manufacturing process, it becomes foreign source steel and/or iron products. The UAO may incorporate into the finished work foreign source steel and/or iron products as long as the actual cost of such foreign products does not exceed 0.1% of the total amount of this Agreement, or $2,500.00 whichever is greater. The UAO will retain documentation verifying compliance with the Buy America provision of this Agreement for a period of 3 years after final payment of the finished work. Upon request, the UAO will provide the documentation verifying compliance with the Buy America provision of this Agreement. The UAO will provide a certification with the invoice that states the following: �The UAO certifies that all manufactured products that are predominately steel and/or iron are domestic products in compliance with the Buy America provisions of 23 CFR 635.410 as amended except for the foreign source steel and/or iron allowance of 0.1% of the total amount of the agreement between the Florida Department of Transportation and the UAO, or $2,500.00 whichever is greater.�

(5) Information and Reports: The UAO will provide all information and reports required by the Regulations, or orders and instructions issued pursuant thereto, and will permit access to its books, records, accounts, other sources of information, and its facilities as may be determined by the DEPARTMENT or the Federal Highway Administration to be pertinent to ascertain compliance with such Regulations, orders and instructions. Where any information required of the UAO is in the exclusive possession of another who fails or refuses to furnish this information, the UAO shall so certify to the DEPARTMENT or the Federal Highway Administration as appropriate, and shall set forth what efforts it has made to obtain the information.

DocuSign Envelope ID: E9F205A2-DF67-4956-8385-27E6B8DBB440DocuSign Envelope ID: 5A9D0CFC-58C0-4AFB-BF7C-34984FCE877E

REQUIRED CONTRACT PROVISIONS FOR FEDERAL AID CONTRACTS

(Appendix A of Assurances)

710-010-08

UTILITIES

(6) Sanctions for Noncompliance: In the event of the UAO's noncompliance with the nondiscrimination provisions of paragraphs (1) through (4), the DEPARTMENT shall impose such contract sanctions as it or the Federal Highway Administration may determine to be appropriate, including, but not limited to:

(a) withholding of payments to the contractor under the Agreement until the UAO complies;

and/or

(b) cancellation, termination or suspension of the Agreement, in whole or in part.

(7) Incorporation of Provisions: The UAO will include the provisions of paragraph (1) through (6) in every subcontract, including procurement of materials and leases of equipment, unless exempt by the Regulations, order or instructions issued pursuant thereto. The UAO will take such action with respect to any subcontract, procurement or lease as the DEPARTMENT or the Federal Highway Administration may direct as a means of enforcing such provisions including sanctions for noncompliance; provided, however, that in the event the UAO becomes involved in, or is threatened with, litigation with a subcontractor, supplier or lessor as a result of such direction, the UAO may request the State to enter into such litigation to protect the interests of the State, and, in addition, the UAO may request the United States to enter into such litigation to protect the interests of the United States.

DocuSign Envelope ID: E9F205A2-DF67-4956-8385-27E6B8DBB440DocuSign Envelope ID: 5A9D0CFC-58C0-4AFB-BF7C-34984FCE877E

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

ASZ87

5/6/2024

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 5/6/2024

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55014010106

Expansion Option: A5

Object Code: 563000

Amount: $108,428.86

Financial Project: 43801315611

Work Activity (FCT): 216

CFDA:

Fiscal Year: 2024

Budget Entity: 55150200

Category/Category Year: 088716/24

Amendment ID: W001

Sequence: 00

User Assigned ID: 001

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

Total Amount: $108,428.86

Contract: ASZ87

Contract Type: AE - UTILITIES RELOCATION (UTIL RELOC)

Vendor Name: LAKELAND, CITY OF

Vendor ID: F596000354003

Beginning Date of This Agreement: 05/02/2024

Ending Date of This Agreement: 05/02/2034

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: 438013-1-56-11 City of Lakeland (Water) Utility Relocation

Page1 of 1

To: Joseph.Glorioso@dot.state.fl.us

Clark, Mike

From: Conway, Don

Sent: Monday, April 15, 2024 12:53 PM

To: Clark, Mike

Cc: Shelton, Wayne

Subject: FW: 438013-1-52-01; SR 572 from Drane Field to Pipkin Creek; Polk County; City of

Lakeland Water Utilities Compensability

Attachments: T28_R23_WestLakelandBusinessParkPhase2.pdf; 438013-1 Sht 29 - 32.pdf

Mike, Yes, the off system work is compensable. Thanks

Don Conway Senior Attorney Florida Department of Transportation Office of the General Counsel 801 N. Broadway Avenue Bartow, Florida 33830 Phone: (863) 519-2623

Contact me in Teams https://teams.microsoft.com/l/chat/0/0?users=don.conway@dot.state.fl.us

This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient, please notify the sender, delete this message, and do not use, disseminate, or copy its contents. Thank you.

From: Clark, Mike <Mike.Clark@dot.state.fl.us> Sent: Monday, April 15, 2024 12:15 PM To: Conway, Don <Don.Conway@dot.state.fl.us> Cc: Shelton, Wayne <Wayne.Shelton@dot.state.fl.us> Subject: 438013-1-52-01; SR 572 from Drane Field to Pipkin Creek; Polk County; City of Lakeland Water Utilities Compensability

Don, As a result of our meeting, it is my understanding that the City of Lakeland Water Utilities is compensable for all relocation work required by conflict within the 30’ public drainage and utility easement depicted on the attached recorded plat. Please confirm.

Thanks

DocuSign Envelope ID: E9F205A2-DF67-4956-8385-27E6B8DBB440DocuSign Envelope ID: 5A9D0CFC-58C0-4AFB-BF7C-34984FCE877E

File details come from the government source that posted it. Updated Oct 8, 2025.