CN-550000-AT324-W0010000.pdf

725-090-04

RAIL

OGC – 3/24

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NUMBER 1

Financial Project ID Roadway Description County Roadway ID Contract ID

432887-1-57-01 Districtwide Districtwide Districtwide AT324

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:

Flagging services for the districtwide, dynamic envelope refurbishment work at various crossings in Polk, Okeechobee, Manatee, Highlands, and Hardee Counties (see attached list). This change order includes any other work deemed necessary to complete the project.

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 8/7/1972 and no Supplemental Agreement is required.

Agreement Type: Crossing Surface

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

1 Flagging Services $0.00 $95,000.00

Total amount of work previously authorized………………………………………………………… $0.00

Total amount of new work authorized by this change order…………………………………………………………………… $95,000.00

Total amount of work authorized under agreement for this Financial Project ID……………………………………… $0.00

PROJECT TOTAL AMOUNT OF WORK AUTHORIZED TO DATE……………………………………………………………………… $95,000.00

Examined as to provisions and participating items of cost:

Recommended: ____________________ Approved: ____________________ Date Date

Wendy Sands Paul Simmons

District Rail Administrator Modal Development Administrator

Docusign Envelope ID: DFDAE7D5-BB2C-47DC-9443-ACAFC66821EF

05/09/2025 | 10:30 AM EDT 05/09/2025 | 10:54 AM EDT

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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.

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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.

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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.

Crossing Number Roadway RRMP County City

624114M SR-64 SVC 865.47 Hardee Ona

624118P SR-62 SVC 857.58 Hardee Ona

627572L SR-17 / W MAIN ST SX 858.30 Highlands Avon Park

627592X SR-17 S SX 863.53 Highlands Sebring

628045V US-98 / SR-700 SX 880.23 Highlands Lorida

627579J W Main St. AVC 867.56 Highlands Avon Park

624614K SR-43 / W 10TH ST SW 870.92 Manatee Palmetto

624719Y SR-64 / MANATEE AVE W AZA 916.20 Manatee Bradenton

624725C SR-60 AZA 914.47 Manatee Palmetto

624750K N US-41 / SR-45 AZA 910.00 Manatee Palmetto

624751S SR-60 AZA 905.50 Manatee Palmetto

624594B US 301 SW 869.16 Manatee Parrish

628062L US-441 / N PARROTT AVE SX 908.78 Okeechobee Okeechobee

621481K SR-659 / COMBEE RD AD 003.29 Polk Lakeland

623082F SR-655 / RECKER HWY A 842.05 Polk Auburndale

624131D SR-37 SVC 842.88 Polk Bradley

624151P SR-659 / COMBEE RD A 847.88 Polk Lakeland

624163J SR-35 / FLORIDA AVE A 850.89 Polk Lakeland

624171B SR-700 / LAKE PARKER AVE AX 852.43 Polk Lakeland

624180A SR-659 / COMBEE RD AX 854.75 Polk Lakeland

624229G SR-60 / CANAL ST AY 866.29 Polk Lakeland

624300N SR-572 / AIRPORT RD A 854.75 Polk Lakeland

624507V SR-60 SV 848.16 Polk Bartow

624517B SR-37 / CHURCH AVE SV 842.23 Polk Mulberry

624525T SR-60 SV 840.62 Polk Mulberry

625419N SR-60 SX 834.53 Polk Lake Wales

627561Y US-98 / SR-700 SX 847.49 Polk Frostproof

627563M SR-17 SX 854.64 Polk Frostproof

643801U US-92 / SR-600 A 856.99 Polk Lakeland

908367H SR-60 SV 868.22 Polk Mulberry

908373L US-92 / SR-600 A 854.03 Polk Lakeland

908391J SR-37 (AGRICOLA) SVC 851.20 Polk Mulberry

622959Y US 17/92 A 823.52 Polk Davenport

624301V US-92 / SR-600 A 855.20 Polk Lakeland

CSX Dynamic Envelope Refurbishment

FPID: 432887-1-57-01

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

AT324

5/6/2025

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 5/6/2025

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55014010106

Expansion Option: A5

Object Code: 563000

Amount: $95,000.00

Financial Project: 43288715701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2025

Budget Entity: 55150200

Category/Category Year: 088716/25

Amendment ID: W001

Sequence: 00

User Assigned ID: CO#1

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

Total Amount: $95,000.00

Contract: AT324

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 05/05/2025

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: Preliminary Engineering and Flagging for Districtwide Dynamic Envelope Refurbishment

Page1 of 1

To: JJ.Wren@dot.state.fl.us

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, and e‐mail 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 7/18/23

If Email or Mail & Email is selected, please enter Email address(es) here:

Note: this is the agency that will be paying the invoice.

Note: this is the address to send the invoice for payment.

State funds, DS

E-Verify

Florida Department of Transportation 801 N Broadway Avenue, Bartow, FL 33830

J.J. Wren 863-519-2437 jj.wren@dot.state.fl.us jj.wren@dot.state.fl.us

District 1: Polk, Okeechobee, Manatee, Highlands, Hardee Counties - various crossings

Dynamic Envelope Refurbishment

432887-1-57-01 (AT324)

J.J. Wren, Rail Project Manager

No

Yes

Email

05/09/2025 | 8:02 AM EDT

Crossing Number Roadway RRMP Railroad County City Prior FPID Prior Contract Notes Crossing Angle GPS Current or Future Flagging Days Flagging Cost Estimate

624114M SR-64 SVC 865.47 CSX Hardee Ona 447029-1-52-01 E1T82 - 60-90 27.482168,-81.9198496 - 3 $4,500.00

624118P SR-62 SVC 857.58 CSX Hardee Ona 447029-1-52-01 E1T82 - 60-90 27.5948451,-81.9397216 451285-1, FY 26 1 $1,500.00

627572L SR-17 / W MAIN ST SX 858.30 CSX Highlands Avon Park 447029-1-52-01 E1T82 - 60-90 27.5957458,-81.5057081 - 2 $3,000.00

627592X SR-17 S SX 863.53 CSX Highlands Sebring 447029-1-52-01 E1T82 Warranty Repair 60-90 27.5411818,-81.453381 - 1 $1,500.00

628045V US-98 / SR-700 SX 880.23 CSX Highlands Lorida 447029-1-52-01 E1T82 - 0-29 27.4377580,-81.2402682 448936-1, FY 25 3 $4,500.00

627579J W Main St. AVC 867.56 CSX Highlands Avon Park 447029-1-52-01 E1T82 - 60-90 27.595745,-81.504755 451262-1, FY 26 2 $3,000.00

624614K SR-43 / W 10TH ST SW 870.92 CSX Manatee Palmetto 447029-1-52-01 E1T82 Warranty Repair 30-59 27.5211682,-82.5664546 - 3 $4,500.00

624719Y SR-64 / MANATEE AVE W AZA 916.20 CSX Manatee Bradenton 447029-1-52-01 E1T82 - 60-90 27.495338,-82.567505 - 1 $1,500.00

624725C SR-60 AZA 914.47 CSX Manatee Palmetto 447029-1-52-01 E1T82 - 60-90 27.5212023,-82.5689565 - 1 $1,500.00

624750K N US-41 / SR-45 AZA 910.00 CSX Manatee Palmetto 447029-1-52-01 E1T82 Warranty Repair 60-90 27.5816695,-82.5402877 - 2 $3,000.00

624751S SR-60 AZA 905.50 CSX Manatee Palmetto 447029-1-52-01 E1T82 - 30-59 27.6408642,-82.5316937 - 4 $6,000.00

624594B US 301 SW 869.16 CSX Manatee Parrish 447029-1-52-01 E1T82 Warranty Repair 60-90 27.5883118,-82.4255097 - 2 $3,000.00

628062L US-441 / N PARROTT AVE SX 908.78 CSX Okeechobee Okeechobee 447029-1-52-01 E1T82 Warranty Repair 60-90 27.251773,-80.8299201 - 2 $3,000.00

621481K SR-659 / COMBEE RD AD 003.29 CSX Polk Lakeland 447029-1-52-01 E1T82 - 60-90 28.0869929,-81.9056260 - 1 $1,500.00

623082F SR-655 / RECKER HWY A 842.05 CSX Polk Auburndale 447029-1-52-01 E1T82 - 60-90 28.054904,-81.8133139 - 1 $1,500.00

624131D SR-37 SVC 842.88 CSX Polk Bradley 447029-1-52-01 E1T82 - 60-90 27.799232,-81.981909 - 1 $1,500.00

624151P SR-659 / COMBEE RD A 847.88 CSX Polk Lakeland 447029-1-52-01 E1T82 - 60-90 28.0469032,-81.9079404 - 2 $3,000.00

624163J SR-35 / FLORIDA AVE A 850.89 CSX Polk Lakeland 447029-1-52-01 E1T82 - 60-90 28.0450014,-81.9572394 - 2 $3,000.00

624171B SR-700 / LAKE PARKER AVE AX 852.43 CSX Polk Lakeland 447029-1-52-01 E1T82 - 30-59 28.038805,-81.940723 - 3 $4,500.00

624180A SR-659 / COMBEE RD AX 854.75 CSX Polk Lakeland 447029-1-52-01 E1T82 CSX crosses FDOT

R/W 60-90 28.0141982,-81.9077749 - 1 Permit crossing

624229G SR-60 / CANAL ST AY 866.29 CSX Polk Lakeland 447029-1-52-01 E1T82 - 60-90 27.8949656,-81.9743711 - 2 $3,000.00

624300N SR-572 / AIRPORT RD A 854.75 CSX Polk Lakeland 447029-1-52-01 E1T82 - 60-90 28.0331908,-82.0191719 450873-1, FY 26 1 $1,500.00

624507V SR-60 SV 848.16 CSX Polk Bartow 447029-1-52-01 E1T82 RDE removed 0-29 27.897628, -81.878161 - 4 $6,000.00

624517B SR-37 / CHURCH AVE SV 842.23 CSX Polk Mulberry 447029-1-52-01 E1T82 - 0-29 27.8934077,-81.9736883 - 4 $6,000.00

624525T SR-60 SV 840.62 CSX Polk Mulberry 447029-1-52-01 E1T82 - 30-59 27.8976326,-81.997869 - 2 $3,000.00

625419N SR-60 SX 834.53 CSX Polk Lake Wales 447029-1-52-01 E1T82 RDE not installed 30-59 27.9030971,-81.6590857 - 4 $6,000.00

627561Y US-98 / SR-700 SX 847.49 CSX Polk Frostproof 447029-1-52-01 E1T82 - 30-59 27.7336573,-81.5820456 447431-1, FY 24 1 $1,500.00

627563M SR-17 SX 854.64 CSX Polk Frostproof 447029-1-52-01 E1T82 - 60-90 27.6811549,-81.5497845 450879-1, FY 26 1 $1,500.00

643801U US-92 / SR-600 A 856.99 CSX Polk Lakeland 447029-1-52-01 E1T82 - 30-59 28.0277162,-82.0535287 - 2 $3,000.00

908367H SR-60 SV 868.22 CSX Polk Mulberry 447029-1-52-01 E1T82 - 60-90 27.8944859,-81.9183498 - 1 $1,500.00

908373L US-92 / SR-600 A 854.03 CSX Polk Lakeland 447029-1-52-01 E1T82 - 60-90 28.0374657,-82.0099578 - 1 $1,500.00

908391J SR-37 (AGRICOLA) SVC 851.20 CSX Polk Mulberry 447029-1-52-01 E1T82 - 60-90 27.6711459,-82.0399285 - 1 $1,500.00

622959Y US 17/92 A 823.52 CSX Polk Davenport 447029-1-52-01 E1T82 - 60-90 28.187761,-81.58935 - 1 $1,500.00

624301V US-92 / SR-600 A 855.20 CSX Polk Lakeland 447029-1-52-01 E1T82 - 60-90 28.0331518,-82.0292825 - 1 $1,500.00 Days Total Estimate for Flagging

CSX Total 64 $94,500.00

ESTIMATE