CN-550000-AT655-W0010000.pdf

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Attached to
Master Agreement FL|AT655|679f93f4b77fef39ffed00fde1dd0cae
Contract number
AT655
Issued by
Florida

About this file

This Railroad Change Order Number 1 is issued by the State of Florida Department of Transportation (FDOT) and authorizes CSX Transportation Inc. to perform crossing surface construction work at the SR45 CSXT Railroad Crossing #626925-T, located north of E Long Street in Hillsborough County. The change order references the Master Agreement dated September 15, 1998, between FDOT and CSX Transportation Inc., and is designated as Contract ID AT655 with Financial Project ID 437824-1-57-01.

The work consists of crossing surface construction with circuitry frequency alterations and flagging services, with a total authorized amount of $522,659.00 funded through District Dedicated Revenue (DDR) state funds. The reimbursement method is designated as a Force Account arrangement under Administrative Rule Chapter 14-57 Section .011(2), requiring actual cost reimbursement with supporting documentation. The estimated cost breakdown includes preliminary engineering ($30,000), construction engineering and inspection ($38,700), flagging services ($37,534), signal and communications work ($29,525), track work ($160,989), contract work ($223,851), and contingencies at 10 percent ($52,060). The work is subject to Buy America requirements for steel and iron manufacturing, E-Verify employment eligibility verification, and Title VI nondiscrimination assurances. The funds approval was processed on March 11, 2026, with the contract effective from March 9, 2026, through December 31, 2050.

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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 437824-1-57-01 SR45 at CSXT RR Crossing 626925-

T, N of E Long St Hillsborough 10250001

AT655

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:

Crossing Surface Construction Crossing #626925-T RRMP: S-843.95

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

Crossing Surface Construction

$ $522,659.00

Total amount of work previously authorized………………………………………………………… $ Total amount of new work authorized by this change order…………………………………………………………………… $522,659.00 Total amount of work authorized under agreement for this Financial Project ID……………………………………… $522,659.00 PROJECT TOTAL AMOUNT OF WORK AUTHORIZED TO DATE……………………………………………………………………… $522,659.00

Examined as to provisions and participating items of cost:

Recommended: ____________________ Approved: ____________________ Date Date

Kelli Bradley Director of Transportation Development

Kenneth Madden

District Seven Rail Administrator

Docusign Envelope ID: 567D6669-D4BB-4C99-9CC9-5DB16CB1AB58

03/12/2026 | 12:20 PM EDT 03/12/2026 | 4:24 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.

ACCT. CODE : 709 - FL3226 Form Revision 20251029-B

1/6/2027 DOT NO.:

CITY: COUNTY: STATE: FL

DIVISION: SUB-DIV: MILE POST:

PRELIMINARY ENGINEERING:

Contracted & Administrative Engineering Services 30,000$

Subtotal 30,000$

CONSTRUCTION ENGINEERING/INSPECTION:

Contracted & Administrative Engineering Services 38,700$

Subtotal 38,700$

FLAGGING SERVICE: (Contract/CSX Labor)

Engineering Labor (Foreman/Inspector/Flagman) 20 Days @ 700.00$ 14,000$

Additive 168.10% (Engineering Department) 23,534$

Subtotal 37,534$

SIGNAL & COMMUNICATIONS WORK: 29,525$

TRACK WORK: 160,989$

CONTRACT WORK: 223,851$

PROJECT SUBTOTAL: 520,599$

CONTINGENCIES: 10.00% 52,060$

PROJECT TOTAL: ***************************************************** 572,659$

CURRENT AUTHORIZED BUDGET: ***************************************************** 50,000$

TOTAL SUPPLEMENT REQUESTED: ***************************************************** 522,659$

DIVISION OF COST:

Agency 100.00% 522,659$

Railroad 0.00% -$

522,659$

Office of Director - CSXT Public Projects, Jacksonville, Florida

Benesch Approved by: KSW CSXT Public Project Group

DATE: 01/05/26 DATE: 01/06/26

626925T

Florida

ESTIMATE SUBJECT TO REVISION AFTER:

Buy America

Tampa Terminal S 843.96

Tampa

DESCRIPTION: N 22nd Street (US-41B, SR-45): Tub crossing surface upgrade with crossing circuitry frequency alterations and flagging.

Hillsborough

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

REVISED:

NOTE: Estimate is based on FULL CROSSING CLOSURE during work by Railroad Forces.

FDOT 437824-1-57-01 (AT466)AGENCY PROJECT NUMBER:

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

AT655

3/11/2026

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 3/11/2026

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55074010706

Expansion Option: A5

Object Code: 563000

Amount: $522,659.00

Financial Project: 43782415701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2026

Budget Entity: 55150200

Category/Category Year: 088716/26

Amendment ID: W001

Sequence: 00

User Assigned ID: CO#1

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

Total Amount: $522,659.00

Contract: AT655

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 03/09/2026

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: CO #1 - Construction

Page1 of 1

To: Sandra.Guerrero@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.

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

SR45 at CSXT RR Crossing 626925-T, N of E Long St

RR Crossing - Crossing Surface Construction 437824-1

Kenneth Madden - Rail Administrator

No

Yes

Email

03/12/2026 | 12:20 PM EDT

Docusign Envelope ID: 3B68A6F0-DCC9-4C4D-83E5-D9F1FA2E5ADBDocusign Envelope ID: 567D6669-D4BB-4C99-9CC9-5DB16CB1AB58

Docusign Envelope ID: 3B68A6F0-DCC9-4C4D-83E5-D9F1FA2E5ADBDocusign Envelope ID: 567D6669-D4BB-4C99-9CC9-5DB16CB1AB58

Docusign Envelope ID: 3B68A6F0-DCC9-4C4D-83E5-D9F1FA2E5ADBDocusign Envelope ID: 567D6669-D4BB-4C99-9CC9-5DB16CB1AB58

Docusign Envelope ID: 3B68A6F0-DCC9-4C4D-83E5-D9F1FA2E5ADBDocusign Envelope ID: 567D6669-D4BB-4C99-9CC9-5DB16CB1AB58

Docusign Envelope ID: 3B68A6F0-DCC9-4C4D-83E5-D9F1FA2E5ADBDocusign Envelope ID: 567D6669-D4BB-4C99-9CC9-5DB16CB1AB58

Docusign Envelope ID: 3B68A6F0-DCC9-4C4D-83E5-D9F1FA2E5ADBDocusign Envelope ID: 567D6669-D4BB-4C99-9CC9-5DB16CB1AB58

Docusign Envelope ID: 3B68A6F0-DCC9-4C4D-83E5-D9F1FA2E5ADBDocusign Envelope ID: 567D6669-D4BB-4C99-9CC9-5DB16CB1AB58

Docusign Envelope ID: 3B68A6F0-DCC9-4C4D-83E5-D9F1FA2E5ADBDocusign Envelope ID: 567D6669-D4BB-4C99-9CC9-5DB16CB1AB58

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