CN-550000-AT943-W0010000.pdf

725-090-04

RAIL

OGC – 04/26

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NUMBER 1

Financial Project ID Roadway Description County Roadway ID Contract ID

441026-1-57-01 SR 700 (US 98) Polk 16331000 AT943

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 and construction services for the emergency preeemption repair at CSX Crossing 624171B, RRMP AX 852.43. 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: Signals

B. 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 authorized work under this Financial Project ID:

CHANGE ORDER(S)

AGREEMENT(S)

DESCRIPTION

PREVIOUSLY

AUTHORIZED

AMOUNT(S)

NEW

AUTHORIZED

AMOUNT(S)

1 Preliminary engineering and construction services $0.00 $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

Wendy Sands Wendy Sands

District Rail Administrator for the Modal Development Administrator

Docusign Envelope ID: 4FD4C9A5-7E70-8BBC-82E5-8B9EE256489D

09/24/2026 | 4:09 PM EDT09/24/2026 | 4:09 PM EDT

OGC – 04/26

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 – 04/26

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 – 04/26

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

RON DESANTIS

GOVERNOR

801 N Broadway Ave

Bartow, FL 33830

JARED W. PERDUE, P.E.

SECRETARY

www.fdot.gov | www.swflroads.com

MEMORANDUM

Date: June 30, 2026

To: Michelle Peronto, Transit Programs Administrator

Wendy Sands, Rail Administrator

Dave Newell, Freight and Seaport Coordinator

Dawn Gallon, Senior Aviation/Intermodal Project Manager

From: Paul Simmons, Modal Development Administrator

Copies: Legal Office, Human Resources Office, Financial Services, Procurement, D1-LForum

Subject: Delegation of Authority for Paul Simmons (7/1/26 – 6/30/27)

You are delegated signature and approval authority anytime during my absence from the office. Signature should be made “in your name for the “Modal Development

Administrator”.

This delegation will remain in effect from July 1, 2026 – June 30, 2027.

Paul Simmons Modal Development Administrator

PS/cc

Docusign Envelope ID: EB0C3F44-4D66-8FF5-81FE-15DABF4C1043Docusign Envelope ID: 4FD4C9A5-7E70-8BBC-82E5-8B9EE256489D

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD GRADE CROSSING TRAFFIC CONTROL DEVICES

ANNUAL MAINTENANCE COSTS

725-090-41

RAIL

04/26

FINANCIAL PROJECT NO. ROAD NAME OR NUMBER COUNTY NAME PARCEL & R/W NUMBER FAP NUMBER

441026-1-57-01 SR 700 (US 98) Polk 125 (16331-2501) N/A

COMPANY NAME: CSX Transportation, Inc.

A. FDOT/AAR XING NO.: 624171B RR MILE POST TIE: AX 852.43

B. TYPE SIGNALS PROPOSED: IV CLASS: III DOT INDEX: 509-070

SCHEDULE OF ANNUAL COST OF AUTOMATIC

HIGHWAY GRADE CROSSING TRAFFIC CONTROL DEVICES

Annual Maintenance Cost Exclusive of Installation

CLASS DESCRIPTION COST*

I 2-Quadrant Flashing Lights with One Track $3,251.00

II 2-Quadrant Flashing Lights with Multiple Tracks $4,302.00

III 2-Quadrant Flashing Lights and Gates with One Track $4,903.00

IV 2-Quadrant Flashing Lights and Gates with Multiple Tracks $6,157.00

V 3 or 4-Quadrant Flashing Lights and Gates with One Track $9,694.00

VI 3 or 4-Quadrant Flashing Lights and Gates with Multiple Tracks $12,164.00

AUTHORITY: FLORIDA ADMINISTRATIVE RULE 14-57.011

Public Railroad-Highway Grade Crossing Costs

EFFECTIVE DATE: July 22, 1982

GENERAL AUTHORITY: 334.044, F.S.

SPECIFIC LAW IMPLEMENTED: 335.141, F.S.

*This schedule will become effective July 1, 2026 and will be reviewed every 5 years and revised as appropriate based on the Consumer Price Index for all Urban Consumers published by the U.S. Department of Labor.

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

AT943

9/22/2026

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 9/22/2026

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55014010106

Expansion Option: A5

Object Code: 563000

Amount: $30,000.00

Financial Project: 44102615701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2027

Budget Entity: 55150200

Category/Category Year: 088716/27

Amendment ID: W001

Sequence: 00

User Assigned ID: CO#1

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

Total Amount: $30,000.00

Contract: AT943

Contract Type: AA - RR SIGNALS-PE/INSTAL (RR-SIG/PE)

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 09/21/2026

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: Preliminary Engineering and Construction Services for Emergency Preemption Repair at Crossing 624171B

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.

SA, DS, DDR

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

Crossing 624171B, RRMP AX 852.43 Emergency Preemption Repair

441026-1-57-01 (AT943)

J.J. Wren, Rail Project Manager

No

Yes

Email

09/24/2026 | 3:57 PM EDT

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ofSTANDARD PLANS

FY 2026-27 SHEETINDEX

C R

O S S

IN

G

R O

A D

R A

IL

TRACKS

C R

O S S

IN

G

R O

A D

R A

IL

TRACKS

C R

O S S

IN

G

R O

A D

R A

IL

C R

O S S

IN

G

R A

IL

R O

A D

4'-0" Max.

1'-0" Std.

4'-0" Max.

1'-0" Std.

4'-0" Max.

1'-0" Std.

31509-070

RAILROAD GRADE CROSSING

TRAFFIC CONTROL DEVICES11/01/23

M in

M in

Are Used.

Automatic Gates

Agency When

Installing

Option Of The

Signs Is The

Number Of Track

Crossing)

(1 Minimum Per

Crossing Bell

Highway

Gong Type

Approach Width2

Flasher Units

Back-To-Back

4" Max.Paved Shoulder

Both Sides

Sheeting, White

Red And

Reflectorized

16" Alternate

Are Used.

Automatic Gates

Agency When

Installing

Option Of The

Signs Is The

Number Of Track

Signal Unit

Of Overhead

Lowest Point

Flasher Units

Back-To-Back

(1 Min. Per Crossing)

Highway Crossing Bell

Gong Type

Flasher Units

Back-To-Back

Roadway

Crown Of

Travelway

4" Max.Paved Shoulder

Highway

Or Part Nearest

Edge Of Background

4" Max.Paved Shoulder

Roadway

Crown Of

Travelway

Approach Width2

Signal Unit

Of Overhead

Lowest Point

Flasher Units

Back-To-Back

2' Min. 4" Max.

Shoulder

Paved

Flasher Units

Back-To-Back

Crossing)

Bell (1 Min. Per

Highway Crossing

Gong Type

(Travelway)

Pavement Edge

Signal And Gate

Railroad Gate Or

Gate

Or Signal And

Railroad Gate

Line

Shoulder

(Travelway)

Pavement Edge

Signal And Gate

Railroad Gate Or

Signal And Gate

Railroad Gate Or

Or Curb

Pavement Edge

Travelway

Of

Centerline

Travelway

Of

Centerline

(See Note 2)

10' Min.

(See Note 2)

10' Min.

(See Note 2)

10' Min.

(See Note 2)

10' Min.

ONE-WAY

M e d ia n

See Index 830-T01

Crossing Shoulder Pavement

M in

¡ Median

SIGNAL PLACEMENT AT RAILROAD CROSSING

(4 - LANE DESIGN)

Varies

M a x

M in

M a x

" 51" Max.

27" Std.

15"

Roadway

Crown Of

Travelway

See FIGURE 1

L

M in

M in

15"

27" Std.

51" Max.

15"

27" Std.

TYPE II

M a x

M in

Varies

M in

15"

27" Std.

Travelway

Roadway

Crown Of

M a x

SIGNAL PLACEMENT AT RAILROAD CROSSING

(2 - LANE DESIGN)

See Index 830-T01

Crossing Shoulder Pavement

M in

M in

(Mountable Curb)

Divided Multilane

2 Or 4 Lanes

Undivided

FIGURE 1

TWO-WAY TWO-WAY

Median

Or Shoulder)

(Mountable Curb

M a x

M a x

M a x

M in

M in in

VI

V

IV

III

II

I

V

IV

III

II

I

TYPE I TYPE III TYPE IV

GENERAL NOTES:

TRAFFIC CONTROL DEVICES FOR FLUSH SHOULDER ROADWAY

3-4 Quadrant flashing warning devices and gates-multiple tracks

3-4 Quadrant flashing warning devices and gates-one track

2 Quadrant flashing warning devices and gates-multiple tracks

2 Quadrant flashing warning devices and gates-one track

2 Quadrant flashing warning devices-multiple tracks

2 Quadrant flashing warning devices-one track

Class of traffic control devices (Not Shown)5.

Gate

Flashing warning devices with cantilever and gate

Flashing warning devices with gate

Flashing warning devices with cantilever

Flashing warning devices

Type of traffic control device4.

than 4" above finished shoulder grade.

Top of foundation shall be no higher 3.

if called for in Plans or Specifications.

Advance flasher to be installed when and 2.

certain locations.

attenuation device may be specified for however, some form of impact

No guardrail is proposed for signals; 1.

Arrows denote direction of travel not pavement markings.NOTE:

(See Note 2)

10' Min.

(See Note 2)

10' Min.

(See Note 2)

10' Min.

10' Min.

(See Note 2) but not less than 6' from the edge of the near traffic lane.

located as close as 2' from the edge of a paved shoulder

2. When 10' is deemed impractical the control device can be one for gate), depending on type of equipment used.

1. Two separate foundations may be required (one for signals, NOTE:

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IN

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R A

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Sidewalk

TRACKS

C R

O S S

IN

G

R O

A D

R A

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C R

O S S

IN

G

R O

A D

R A

IL

TRACKS

Than 2 Approach Lanes).

Unit If There Are More

(More Than One Flasher

Lane Separation Lines

One Flasher Unit Over

As A Minimum, Position

Sides

Sheeting, Both

Red And White

Reflectorized

16" Alternate

Per Crossing)

Crossing Bell (1 Min.

Gong Type Highway

NOTES:

32509-070

RAILROAD GRADE CROSSING

TRAFFIC CONTROL DEVICES11/01/23

4" Max.

Sidewalk

Travelway

Highway

Nearest

Part

Edge Of

Are Used.

Automatic Gates

Agency When

The Installing

The Option Of

Tracks Signs Is

Number Of

Crossing

Bell (1 Minimum) Per

Highway Crossing

Gong Type

Sidewalk

4" Max.4" Max.4" Max.4" Max.Sidewalk Sidewalk

Are Used.

Automatic Gates

Agency When

The Installing

The Option Of

Tracks Signs Is

Number Of

Flasher Units

Back-To-Back

Signal Unit

Of Overhead

Lowest Point

Flasher Units

Back-To-Back

Per Crossing

(1 Minimum)

Highway Crossing Bell

Gong Type

Back-To-Back

Flasher Units

Part Nearest Roadway

Edge Of Background Or

Both Sides

And White Sheeting, Reflectorized Red

16" Alternate

Roadway

Crown Of

Travelway

Width

Approach 2

Signal Unit

Of Overhead

Lowest Point

Flasher Units

Back-To-Back

Travelway

Roadway

Crown Of

Flasher Units

Back-To-Back

Travelway

Roadway

Crown Of

Signal And Gate

Railroad Gate Or

Signal And Gate

Railroad Gate Or

Signal And Gate

Railroad Gate Or

Signal And Gate

Railroad Gate Or

C R

O S S

IN

G

R A

IL

R O

A D

6' Min.

51" Max.

Varies

27" Std.

24"

15"

Varies

M a x

M in

Varies

5' Min.

15"

M in . 4'

Sidewalk

10'

Sidewalk

10'

Sidewalk

M in . 4

(2 LANES, CURB & GUTTER)

SIGNAL PLACEMENT AT RAILROAD CROSSING

(2 LANES, CURB & GUTTER)

SIGNAL PLACEMENT AT RAILROAD CROSSING

ACUTE ANGLE (AND RIGHT ANGLE) OBTUSE ANGLE

M a x

M in

51" Max

2'-6"

See FIGURE 1

L

15"

27" Std.

M in a x a x

M in

M a x

See FIGURE 1

L

2'-6"

6' Min.

Width Min.

Approach2

51" Max

27" Std.

15"

M in

M a x

M in

M a x

Travelway

Roadway

Crown Of

Varies

16"

M in

M in

TYPE VTYPE IVTYPE IIITYPE IITYPE I

Min.

2'-6" 24"

M in

M a x

M in of Roadway to the Lowest Point of the Overhead Signal Unit.

minimum vertical clearance shall be 17'-6" from above the Crown

When a cantilevered-arm flashing warning device is used, the 5.

from nearest rail; or 8' from and parallel to gate when present.

Stop line to be perpendicular to edge of roadway, approx. 15' 4.

face of curb and sidewalk.

Locate device outside sidewalk. Over 6' - Locate device between distance available between face of curb & sidewalk. 0' to 6' -

Location of railroad traffic control device is based on the 3.

12'-6".

installed in curbed medians, the minimum median width shall be

Where plans call for railroad traffic control devices to be 2.

appropriate track clearances.

established based on future (or present) installation of gate with

The location of flashing warning devices and stop lines shall be 1.

TRAFFIC CONTROL DEVICES FOR CURBED ROADWAY

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33509-070

RAILROAD GRADE CROSSING

TRAFFIC CONTROL DEVICES11/01/23

White

Red

Red Flashing LightsRed Steady Burn

Crown Of Roadway Travel Way

6" Min. Height

Type F Curb

18"18"

With Gates

Flashing Signal

Gate or

(If Not with Gate)

Flashing Signal

As Required

Stop Line

6" White

Edge of Traveled Way

S id e w a lk

Min)

(2'-6"

Varies

(Std.)

27"

Min.

57"

M in .1 M in

12'-6" Min.

1'

1'

S id e w a lk

Specified Length Of Gate Arm

M a x

M in . 16" 16"

90°

"C""B""A"

5'

5'

5'

5'

5'

5'

6'

7'

9'

10'10'

9'

7'

6'

5'

4'

41"

36"

36"

36"6"

18"

24"

28"

28"

28"

36"

36"

36"

36"38 And Over

35-37 Ft.

32-34 Ft.

29-31 Ft.

24-28 Ft.

20-23 Ft.

18-19 Ft.

16-17 Ft.

15 Ft.

14 Ft.

"C"

Dimension

"B"

Dimension

"A"

Dimension

Of Gate Arm

Specified Length

RAILROAD GATE ARM LIGHT SPACING

PLAN

MEDIAN SECTION AT SIGNAL GATES

(Three or More Driving Lanes in one Direction, 45 mph or less)

8'

6'

TRAFFIC CONTROL DEVICES

RELATIVE LOCATION OF CROSSING

NOTE:

"A Policy On Geometric Design Of Streets And Highways".

Devices", Part 8; The "Traffic Control Handbook" , Part VIII; and AASHTO

For additional information see the "Manual On Uniform Traffic Control

MEDIAN SIGNAL GATES FOR MULTILANE UNDIVIDED URBAN SECTIONS

GATE ARM DETAIL