CN-550000-AT972-W0010000.pdf

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Master Agreement FL|AT972|767d11d13f8237241741e98cbf7de0bf
Contract number
AT972
Issued by
Florida

About this file

Railroad Change Order Summary

This is a Railroad Change Order Number 01 issued by the State of Florida Department of Transportation (FDOT) for work at a CSX Transportation, Inc. railroad crossing. The change order pertains to Financial Project ID 458280-1-57-01 located on State Route 60 in Polk County, specifically at crossing 625419N near Lake Wales, Florida, approximately 3.3 miles north of Old Bartow Road. CSX Transportation, Inc. is the contractor responsible for performing the authorized work under the existing Master Agreement dated August 7, 1972. The agreement type is classified as "Crossing Surface," and the project involves preliminary engineering, construction services, and flagging support for roadway improvements at this rail-highway grade crossing.

The authorized work consists of removing concrete slabs and replacing them with asphalt surface on the roadway approaches to crossing 625419N at railroad milepost SX 834.53. The reimbursement method is reimbursable via the Force Account Method in accordance with Administrative Rule Chapter 14-57 Section .011(2). The total estimated cost of authorized work under this change order is $30,000.00, with a previously authorized amount of $0.00. The funds were approved on October 22, 2026, by Jason Adank, CPA, Comptroller, with allocation to Fiscal Year 2027, Budget Entity 55150200, Organization Code 55014010106, and Object Code 563000. The project requires compliance with E-Verify employment eligibility verification, Buy America requirements (23 CFR 635.410) for all steel and iron manufacturing, and Title VI nondiscrimination assurances including Appendices A and E.

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725-090-04

RAIL

OGC – 04/26

STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION

RAILROAD CHANGE ORDER NUMBER 01

Financial Project ID Roadway Description County Roadway ID Contract ID

458280-1-57-01 SR 60 Polk 16110000 AT972

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 (PE), construction services, and flagging support for roadway work to remove concrete slabs and repalce with asphalt surface on the roadway approaches to crossing 625419N, RR MP SX 834.53, west of Lake Wales, Florida. This change order includes any other work deemed necessary to complete this 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. 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 PE, Construction Services, and Flagging Support $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 Paul Simmons

District Rail Administrator Modal Development Administrator

Docusign Envelope ID: 830727D1-30D5-895E-806C-05EBE3530B35

10/23/2026 | 9:39 AM EDT 10/23/2026 | 10:18 AM 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

FUNDS APPROVAL

AT972

10/22/2026

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 10/22/2026

Action: Task Work Order

Reviewed or Approved: APPROVED

Organization Code: 55014010106

Expansion Option: A5

Object Code: 563000

Amount: $30,000.00

Financial Project: 45828015701

Work Activity (FCT): 127

CFDA:

Fiscal Year: 2027

Budget Entity: 55150200

Category/Category Year: 088716/27

Amendment ID: W001

Sequence: 00

User Assigned ID: CO1

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

Total Amount: $30,000.00

Contract: AT972

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

Vendor Name: CSX TRANSPORTATION, INC.

Vendor ID: F546000720022

Beginning Date of This Agreement: 10/19/2026

Ending Date of This Agreement: 12/31/2050

Contract Total/Budgetary Ceiling:

Method of Procurement: R - RAILROAD/UTILITIES AGREEMENT

Description: CSX Review - PE CEI Flagging

Page1 of 1

To: Kyle.Green@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, DS

E-Verify

FDOT

801 N Broadway Avenue, Bartow, FL 33830

Kyle Green 863-519-2386 kyle.green@dot.state.fl.us kyle.green@dot.state.fl.us

SR 60, Crossing 625419N

SR 60 N OF OLD BARTOW RD TO S OF CENTRAL AVE

458280-1-57-01 (AT972)

W. Kyle Green, Senior Rail Project Manager

No

Yes

Email

10/22/2026 | 1:22 PM EDT

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Rail Highway Crossing Inventory Search Crossing Imports Reports Library Projects Reference

General

Railroad

Road

Signs

Signals

Gates

Vicinity

Data

Incident

Comments

Photos

Field Review

INTERSTATE NHS

NATIONAL HIGHWAY SYSTEM

FED AID HIGHWAY, NOT NHS

NON FEDERAL AID

Rural

Urban

INTERSTATE

PA-OTHER FREEWAY/EXPRESSWAY

PRINCIPAL ARTERIAL - OTHER

MINOR ARTERIAL

MAJOR COLLECTOR

MINOR COLLECTOR

LOCAL ACCESS

Crossing Number: 625419N - SR-60

Railroad Operating Company: CSX TRANSPORTATION

Local Street Name: SR-60

Crossing Status: OPEN--TRACK ACTIVE

Last Updated by Khaleda Hatim on 3/31/2026 11:08:26 AM

Safety Index Rank: 200

Railroad Responsible FRA Field

RR Milepost: SX | 834.53 |

Crossing General 1 log entries available. View Log

Roadway Location

District 1 County (I.3) Polk City (I.4) LAKE WALES

IN CITY

NEAR CITY

State Route Number (I.6) SR60

County Route Number (I.6)

U.S. Route Number (I.6)

Local Street Name (I.5) SR-60

Railroad Local Street Name

Block Number (I.5) 3985

FDOT Bridge Number

Latitude (I.27) 27.9030971413696

Longitude (I.28) -81.6590857588429 View location in Google Maps

Latitude/Longitude Source

(I.29) ACTUAL ESTIMATED

Is Crossing ID Posted?

YES NO

Roadway ID Number 16 / 110 / 000

Linear Referencing System (LRS Route ID) (V.5)

16110000

Highway Milepoint 25.577

LRS Milepost (V.6) 25.591

Railway ID Number 16 / 92900 / 4

FDOT GIS RR Milepoint 833.721

Parcel Number

Railroad Ownership

Railroad Operating Company CSX TRANSPORTATION

Parent Company CSX TRANSPORTATION, INC.

Crossing Owner

Railroad Contact Phone Number 904-366-3051

Railroad Emergency Contact Number 800-232-0144

Roadway Ownership

Crossing Status

OPEN--TRACK ACTIVE

OPEN--TRACK INACTIVE

CLOSED--TRACK REMOVED

CLOSED--ROADWAY REMOVED

Crossing Type

(I.17) PUBLIC PRIVATE

Public Access Allowed? (I.20) YES NO UNKNOWN

Crossing Purpose (I.18)

Highway Vehicle

Crossing Position

vs. Highway (I.19) AT GRADE RR UNDER RR OVER

Maintenance Responsibility STATE COUNTY CITY PRIVATE

State Annual Maintenance Percentage

Highway System (V.1)

Functional Classification of Road at Crossing (V.2)

Is the crossing on the State Highway System? (V.3)

YES NO

Regularly used by Hazmat Vehicles? NO YES

Regular Emergency Services Route?

(V.10)

NO YES

Is the crossing on the Strategic Intermodal System

(SIS)?

NO YES

Roadway Agency Contact Phone Number (I.35)

850-414-4907

Save | Cancel

Important Update: This system is currently in Read-Only Mode, no edits will be saved. Exception: The Amtrak On Time Performance Module is open for edits. Thank you.

Docusign Envelope ID: 830727D1-30D5-895E-806C-05EBE3530B35 https://www.flrhci.com/Restricted/Default.aspx javascript:__doPostBack('ctl00$lnbLogOut','') javascript:openpopup('/Popups/Help.aspx',400,275) https://www.flrhci.com/Restricted/Modules/RailroadInventory/Search/Default.aspx https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=general&cid=625419N https://www.flrhci.com/Reports/Batchload.aspx https://www.flrhci.com/Reports/Select.aspx https://www.flrhci.com/Restricted/Modules/RailroadInventory/Library/Default.aspx?cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Projects/Default.aspx?section=current&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Reference/Default.aspx https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=general&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=railroad&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=road&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=signs&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=signals&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=gates&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=vicinity&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=data&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=incident&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=comments&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=photos&cid=625419N https://www.flrhci.com/Restricted/Modules/RailroadInventory/Crossings/Default.aspx?section=fieldreview&cid=625419N javascript: openlogwindow("logviewer.aspx?cid=625419N%22) http://maps.google.com/maps?q=27.9030971413696,-81.6590857588429 http://maps.google.com/maps?q=27.9030971413696,-81.6590857588429

Imagery ©2026 Airbus, Maxar Technologies, Map data ©2026 200 ft

27°54'11.2"N 81°39'32.7"W

27.903097, -81.659086

27°54'11.2"N 81°39'32.7"W

Crossing 625419N, RR MP SX 834.53

/2

/2

:3

:4

A

M

R E

V

IS

IO

N DESCRIPTION:

REVISION

LAST

ofSTANDARD PLANS

FY 2026-27 SHEETINDEX

21830-T01

RAILROAD (GRADE) CROSSING

11/01/17

GENERAL NOTES:

CROSSING SURFACES

STOP ZONE FOR RUBBER CROSSING

Type Definition

C

R

RA

Concrete

Rubber

Rubber/Asphalt

TA Timber/Asphalt

(mph)

Design Speed

(Distance From Stop)

Zone Length

250'

50 - 55

60 - 65

350'

500'

600'

45 Or Less considerations dictate otherwise.

chart may be used unless engineering or safety

Single track Type R Crossings within the zones on the 2.

future vehicular stop. Zone lengths are charted above.

crossings within zones for an existing or scheduled

Type R Crossings are NOT to be used for multiple track 1.

the edge of the travel way.

The Department will participate in crossing work, that requires adjustments to rail outside of the crossing, no more than 50 feet from 7.

Install pavement in accordance with the Specifications. 6.

appropriate material to allow unobstructed travel through the crossing in accordance with ADA requirements.

Sidewalks shall be constructed through the crossing between approach sidewalks of the crossing. Sidewalks shall be constructed with 5.

the crossing surface type shall be made a part of the installation agreement.

and/or the District Rail Office for concurrence along with the List of Railroad Crossing Products. The approved engineering drawings of

The Railroad Company shall submit engineering drawings for the proposed crossing surface type to the Construction Project Engineer 4.

to the District Offices as the list is updated.

The Central Rail Office will maintain a list of currently used Railroad Crossing Products and will periodically distribute the current list 3.

surface is constructed.

protect the crossing from low clearance vehicles and vehicular impacts until the construction project is completed and the final highway the approaches of the crossing to reduce vehicular impacts to the crossing. The transition pavement will be maintained as appropriate to

When a railroad grade crossing is located within the limits of a highway construction project, a transition pavement will be maintained at 2.

negotiated otherwise.

All pavement material, including that through the crossing, will be furnished and installed by the Department or its Contractor, unless

The Railroad Company will furnish and install all track bed (ballast), crossties, rails, crossing surface panels and accessory components. 1.

Notes:

/2

/2

:3

:5

A

M

R E

V

IS

IO

N DESCRIPTION:

REVISION

LAST

ofSTANDARD PLANS

FY 2026-27 SHEETINDEX

22830-T01

RAILROAD (GRADE) CROSSING

11/01/19

¡ Pavement

Beveled Edge (1:4 Slope)

Shoulder Pavement

Edge Of Travel Way

Shoulder Line*

Pavement' Above

See 'Crossing Shoulder

Varies (2' Min.)

Or Signal And Gate

Railroad Signal, Gate

R

A I L R

O A

D

With RR Company)

Geotextile (Optional

Exist. Rdwy. Pavt.

Friction Course

Ballast Ballast

Crosstie

By Crossing Type)

Material (When Required

Cap Or Expansion

Friction Course

Exist. Rdwy. Pavt.

With RR Company)

Geotextile (Optional

Level

Crosstie

Grade

¡ Rail¡ Rail

¡ Track

¡ Railroad

¡ Pavement

2' Setback

Utility Strip

3' Curb Transition 3' Curb Transition

Concrete Curb And Gutter

Utility Strip

Beveled Edge (1:4 Slope)

Asphalt

Concrete Curb And Gutter

Drop Curb Drop Curb

Extend Beyond Lip Of Gutter

Crossing Materials Do Not

Shoulder Pavement When

Match Adjacent Surface

Asphalt or Concrete to

Sidewalk or Trail

Type SP Asphalt (500 Lb/SY)

Overbuild Overbuild

Type SP Asphalt (500 Lb/SY)

Grade Level

HALF PLAN

CURBED ROADWAYS

ROADWAYS WITH FLUSH SHOULDERS

HALF PLAN

SECTION VIEW

TYPICAL CROSSING MATERIAL REPLACEMENT AT RR CROSSINGS VERTICAL ROADWAY ALIGNMENT THROUGH A RAILROAD CROSSING

4' For Median Shoulders.c.

(Regardless Of Approach Shoulder Pavement Width).

To 8' Maximum Width For Outside Shoulders 8' Or Wider b.

To Shoulder Line For Outside Shoulders Less Than 8' Wide.a.

(Except Area Occupied By Crossing Surfacing Material):

Crossing Shoulder Pavement

Flexible Pavement

Gate Or Signal And Gate

With Or Without Signal, 50' Min.

Crossing Materials

(W idth

Varies)

(S e e

G e n e r a l

N o te

D e p a r tm e n t

P a r ti c ip a ti o n

M a x

12'Min.

50' Min.

(Full Depth Asphalt/Rubber Shown)

RR Crossing Varies

(1' To 4.5')

Varies

(1' To 4.5')

Varies is not level, will necessitate a site specific analysis for rail clearances.

grade to a level plane at the elevation of the rails. Rails that are superelevated, or a roadway approach section that superelevation makes a different level appropriate. Vertical curves should be used to traverse from the highway be more than 3 inches higher or lower than the top of the nearest rail at a point 30 feet from the rail unless track plane as the top of the rails for a distance of 2 feet outside the rails. The surface of the highway should also not

To prevent low-clearance vehicles from becoming caught on the tracks, the crossing surface should be at the same

30' 30'

2'2'

Varies (8' Min.)Varies (8' Min.)

Crossing Materials

(Width Varies)

S e e G e n e r a l

N o te

D e p a r tm e n t

P a r ti c ip a ti o n

M a x

V a rie s

V ar ie s crossing shoulder pavement.

be widened to accommodate type, the shoulder width is to is substandard for the facility

* Where the existing shoulder

-0

S e e I n d e x

V a r ie s

Index 509-070 gates or signals and gates see

For location of railroad signals, Note:

M a x

M a x

Insert from: "830-t01.pdf"
Signing, Pavement Markings and Lighting
830-T01-Railroad (Grade) Crossing
830-T01-1of2
830-T01-2of2

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