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841-CSX-26th Pot. Water Main ExCSX TRANSPORTATION James T. Lumpkin Manager Contract Administration August 31, 2000 Agreement No. CSX-037827 50o water street, Sc J18o Jacksonville, FL 32202-4423 (904) 359-1399 FAX: (904) 359-3665 E-Mail: James_Lumpldn@csx.com Mr. Mike Crumpton, P.E. Utility Engineer City Of Sanford P. O. Box 1788 Sanford, FL 32772 Dear Mr. Crumpton: Attached is fully-executed original of Supplemental Agreement No. CSX-037827 dated August 16, 2000, between CSX Transportation, Inc. and City Of Sanford. It is your responsibility to schedule the installation with CSXT Roadmaster, Telephone: (407) 850~3531 (ideally between the hours of 6:30 AM and 8:30 AM), FAX: (407) 850-3525, at least seven (7) days in advance of the date you desire to commence the project. No work is to be performed on Railroad property without Roadmaster's authorization. Very truly yours, Attachments FORM 300776 October 1998 CSX-037827 SUPPLEMENTAL AGREEMENT THIS SUPPLEMENTAL AGREEMENT, Made as of August 16, 2000, by and between CSX TRANSPORTATION, INC., a Virginia corporation, whose mailing address is 500 Water Street, Jacksonville, Florida 32202, hereinafter called "Licensor", and CITY OF SANFORD, a corporation of the State of Florida, whose mailing address is P. O. Box 1788, Sanford, FL 32772, hereinafter (collectively, if more than one) called "Licensee"; WITNESSETH: - that This Supplemental Agreement will serve to amend Agreement, dated February 4, 2000, between Licensor and Licensee, covering the ownership, maintenance, use, and operation of a certain pipeline facility(ies), at Sanford, Seminole County, Florida; as follows: The Valuation Station and Milepost for the above referenced agreement was incorrectly written as 40440 + 78, Milepost A-771., The correct Valuation Station and Milepost should read; 108 + 30, MilePost AU-771.00. All other terms and conditions shall apply. IN WITNESS WHEREOF, the parties hereto have caused these presents to be duly signed, sealed and delivered in duplicate effective the day and year first above written. CSX TRANSPORTATION, INC.: (L.S.) Print/Type Name: .Karen. E, Moh.ler 'DireCtor - Contract Ad m inlst.rati~ Print/Type Title: Who, by the eof, affirms that he/she has the authority to do so and to bind the Licensee to the terms and conditions of this Agreement. Print/Type Name: 7'~NY' V,r'}~Z)~XZW'o~,e Print/Type Title: Tax Identification Number: (For RR Use) CSXT 7 APPLICATION FOR PIPELINE CROSSING UNDER/OVER PROPERTIES AND TRACK R.. i-oi- Jhe . ,. ;lie ....,,,,,,o. ,,-, ,,,,.., Z/ q Location: Val. Sta._/D~>~3~ _ Milepost/'~ r/'7/ . ~ Application and plans must be appWved and written authority received from the Raiiwad Company before construction is bel Proposal and construction must be in accordance with CSXT's Specifications, The American Railway Engineering Associal Specifications and any governing laws or regulations. Original and one copy of both application and drawing should be submi to: CSX Transportation, Property Services JIg0, 500 Water Street, Jacksonville, FL 32202. I. Complete Legal Name of applicant: City of Sanford Company Contact Name: Hike Crumpton~ PE Title: Utility Engineer Telephone'- ( 407 ) 330-5639 Fax:( 407 ) 330-5646 2. Address: P, 0, Box 1788 City:Sanford State: F1 Zip:3__~,,Z 3. Type of business; Individual, Developer, x Municipality, Corporation, (State in which incorporated: ), Partnership, (type and state of Partnership ) 4. Location: J A feet ~ .%~4-1W fdirection) from Railroad Milepost 771 Valuation Station of Crossing ff known: 5. Town: S a n f o r d County: 6, Angle of crossing: 90°~ 7. Temporary track support or riprapping required? Yes No g. Wires, poles, obstructions to be relocated? Yes No x 9. ProduatobeconveyedPotable Water. Flammable? Yes 10. Max. Working Pressure 100 PSI. Field Test Pressure il. Location ofshut-offvalves At entrance and exit of 12. Number of manholes located on Railroad Right-of-Way; 13. PIPE SPECIFICATIONS: Material Material Specifications & Grade Minimum Yield Strength of Material PSI Inside Diameter Wall Thickness Outside Diameter Type of Seam Kind of Joints Total Length Within Railroad Right-of-Way Vents: Number ~ Size Seals: Both ends y e s Bury: Base of rail Co top of casing 5 Bury: (Below ditches) - feet, CATHODIC PROTECTION: Yes PROTECTIVE COATING: Yes Method of installation Bore and Val. MapNo. Seminole Sm~: F1 CARRIER PIPE: Ductile Iron jslqS[[,/i4~ C150 b21,50 PC350 12,64" 0,2 8" 1-3.20" Restrained Joint 87 ft feet, 6. inches, - inches No X No X Height above ground One end Bury (Not beneath tracks) . _ x (Describe and Detail on Drawing) (Describe and Detail on Drawin~ No ~ Tempenture 150 PSI. Type TestHydroJlfcr/-ic casing D1De CASING PIPE: Steel ~ I 35,000 29,062" 0. 30. 000" We1 deal Welded 30 ft inch~ Fdnd - Company employees No x 3.fe~.Q 14. Jack 15. 16- 17. Contractor 18. Will pipe be located in limits of public road Right-of-Way? Yes fight-of-way on print. DOTIAAR Crossing No. - If application is a revision to an existing a~eemen% give agreement number and date: If this a supplement to a master (general) agreement, give agreement amber and date: If Aegis member, work to be performed by: - If "yes", show the mad If application is npproved, applicant agrees to reimburse CSXT for any cost incurred by the Railroad incident to instaltati maintenance, and/or supervision necessitated by this pipeline installation and further agrees to assume all liability for accidents injuries which arise as a result of this installation. Should open cut installation be required, applicant will be responsible for all cc incurred by CSXT to remove and reinstall rail and incidental ~rack resuffacing. Non-refundable Application Fee in the mount $300.00 is attached. [/2 Please Type or Print: Signature & Title of Officer Making Application Paul Moore~PE~Utility Dirt~ctnr(407 ) 330-564C Name Title Telephone Number > J r"' z' )> r- im x --I