CN-550000-AT362-W0010000.pdf

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NUMBER 1

725-090-04A

RAIL

OGC – 12/23

Financial Project ID Roadway Description County Roadway ID Contract ID 445652-1-57-01 SR 582/Fowler Ave from Nebraska

Ave to 50th St Hillsborough 10290000 AT362

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 bike path/trail work adjacent to CSX ROW.

Crossing #624977-D RRMP: SR 836.58

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

$ $30,000.00

Total amount of work previously authorized………………………………………………………… $ Total amount of new work authorized by this change order…………………………………………………………………… $30,000.00 Total amount of work authorized under agreement for this Financial Project ID……………………………………… $30,000.00 PROJECT TOTAL AMOUNT OF WORK AUTHORIZED TO DATE……………………………………………………………………… $30,000.00

Examined as to provisions and participating items of cost:

Recommended: ____________________ Approved: ____________________ Date Date

Interim Director of Transportation Development Kelli Bradley

District Rail Administrator

Kenneth Madden

Docusign Envelope ID: C8DD67BE-DC22-4DBF-9DAE-A6AAFCE63BE7

06/05/2025 | 1:47 PM EDT 06/05/2025 | 2:21 PM EDT

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

AT362

6/4/2025

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 6/4/2025

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55074010706

Expansion Option: A5

Object Code: 563000

Amount: $30,000.00

Financial Project: 44565215701

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: $30,000.00

Contract: AT362

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 05/21/2025

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: CO#1 PE

Page1 of 1

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

Project Location Map

SR 582/Fowler Ave from Nebraska Ave to 50th St

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:

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:

SR No.:

CR No.:

US No.:

Latitude:

Longitude:

Field Review Comments:

Team Recommendations:

RR Company:

Division Name:

Subdivision Name:

Branch Name:

RR Milepost:

Recommended Warning Device:

Incident History:

Date:

Team Members:

IN CITY

PUBLIC AT GRADE Commercial

60-90 DEG

YES

YES

YES

NO

A = No reaction

A = No reaction

A = Smooth

A = Smooth

CONCRETE AND RUBBER

SR-582

SR 805

836.58

BROOKSVILLE

JACKSONVILLE

CSX

10-10

/1

NO

NO

Motion Detection

NO

NO

YES

YES

YES

YES

STATE

YES

YES

YES

NO

03/31/2011

District: 7RR Street: Roadway: E FOWLER AVECrossing No: 624977D County: Hillsborough

Crossbuck Sign: 10

Install - Upgrade: -- 02/07/1992

Pvmt Mrk:

54854 (2023)AADT:

Percent Trucks:

School Buses:

2 (2023)

32 (2025)

28.054500

-82.450000

CFL & G

Other Tracks:

2 Quad, Full Barrier

City: OPEN--TRACK ACTIVE

Event Recorder? N

Traffic Signals Controlling?

Backlights, Incandescent

Incandescent

Freight

HWY

Preempt Cabinet Cable

EB WB NB SB

Redo Mrk: EB WB NB SB Trim Trees: EB WB NB SB

A S

Does traffic queue across the tracks? YES

Rank 2025: 600

Rank 2024: 676

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.

DDR - District Dedicated Revenue - State Funds 100%

Florida Department of Transportation

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

Kenneth Madden

813-975-6407

Kenneth.Madden@dot.state.fl.us

D7RailInvoices@dot.state.fl.us

SR 582/Fowler Ave from Nebraska Ave to 50th St Bike Path/Trail 445652-1

Kenneth Madden - Rail Administrator

No

Yes

Email

06/05/2025 | 1:47 PM EDT