20-29RESOLUTION NO. 20-29
A RESOLUTION OF THE CITY OF CLEARWATER, FLORIDA
APPROVING THE EXECUTION OF A UTILITY WORK BY
HIGHWAY CONTRACTOR AGREEMENT WITH THE STATE OF
FLORIDA DEPARTMENT OF TRANSPORTATION REGARDING
REMOVAL AND RELOCATION OF PUBLIC UTILITIES
FACILITIES FOR THE U.S. HIGHWAY 19 AND HARN BLVD.
OVERPASS PROJECT; PROVIDING AN EFFECTIVE DATE.
WHEREAS, the State of Florida Department of Transportation FDOT secured easements
on city -owned property in order to construct a pedestrian overpass at U.S. 19 and Harn Blvd. in
Clearwater; and
WHEREAS, the city has existing public utilities (Facilities) within the easement area which
must be relocated; and
WHEREAS, under a Utility Work by Highway Contractor Agreement, the FDOT's general
contractor will perform the removal and relocation of the Facilities with FDOT reimbursing the city
for its costs; and
WHEREAS, having FDOT's general contractor remove the Facilities allows for the work
to be done in a timely manner; now, therefore,
BE IT RESOLVED BY THE CITY COUNCIL OF THE CITY OF CLEARWATER
FLORIDA:
Section 1. The City Council hereby accepts and approves the Utility Work by Highway
Contractor Agreement between the City and the State of Florida Department of Transportation
identified as Utility Work by Highway Contractor Agreement Financial Project ID 256881-5-56-01,
a copy of which is attached as Exhibit "A".
Section 2. The City Council hereby authorizes the Mayor and City Manager, and their
designees to sign the Utility Work by Highway Contractor Agreement and associated expense
estimate described in this resolution and associated documents.
Section 3. This resolution shall take effect immediately upon adoption.
PASSED AND ADOPTED this 1 8th day of June
Ap') ov-d - . to for
Laura ahony
Assistant City A orney
, 2020.
Frank Hibbard
Mayor
Attest:
Rosematf ve t
City Clerk
Resolution No. 20-29
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT
(AT FOOT EXPENSE)
Form No. 710010-21
UTILITIES
03/20
Financial Project ID: 256881-5-56-01
Federal Project ID: (N/A)
County: Pinellas
State Road No.: 55
District Document No: (N/A)
Utility Agency/Owner (UAO): City of Clearwater / Public Utilities Department
THIS AGREEMENT, entered into this day of . year of by and between the STATE
OF FLORIDA DEPARTMENT OF TRANSPORTATION, hereinafter referred to as the "FOOT", and City of Clearwater
/ Public Utilities Department, hereinafter referred to as the "UAO";
WITNESSETH:
WHEREAS, the FDOT, is constructing, reconstructing, or otherwise changing a portion of a public road or
publicly owned rail corridor, said project being identified as. US 19 at Ham Road, State Road No.:55 hereinafter
referred to as the "Project"; and
WHEREAS, the UAO owns or desires to install certain utility facilities which are located within the limits of the
Project hereinafter referred to as the "Facilities" (said term shall be deemed to include utility facilities as the same may
be relocated, adjusted, installed, or placed out of service pursuant to this Agreement); and
WHEREAS, the Project requires the location (vertically and/or horizontally), protection, relocation, adjustment
or removal of the Facilities, or some combination thereof, hereinafter referred to as "Utility Work"; and
WHEREAS, the FDOT and the UAO desire to enter into a joint agreement pursuant to Section 337.403(1)(b),
Florida Statutes for the Utility Work to be accomplished by the FDOT's contractor as part of the construction of the
Project; and
WHEREAS, the FOOT, pursuant to the terms and conditions hereof, will bear certain costs associated with the
Utility Work;
NOW, THEREFORE, in consideration of the premises and the mutual covenants contained herein, the FDOT
and the UAO hereby agree as follows:
1. Design of Utility Work
UAO shall prepare a final engineering design, plans, technical special provisions, and a cost esiimate
for the Utility Work (hereinafter referred to at the Plans Package) on or before Sept. 4 , year of 2020.
b. The Plans Package shall be in the same format as the FDOTs contract documents for the Project and
shall be suitable for reproduction.
c. Unless otherwise specifically directed in writing, the Plans Package shall include any and all activities
and work effort required to perform the Utility Work, including, but not limited to, all Bearing and
grubbing, survey work, and shall include a traffic control plan.
d. • . The Plans Package shall be prepared in compliance with the FDOT's Utility Accommodation Manual
and the FDOT's Design Manual in effect at the time the Plans Package is prepared, and the FDOT's
contract documents for the Project. If the FDOT's Design Manual is updated and conflicts with the
FDOTs Utility Accommodation Manual, the Utility Accommodation Manual shall apply where such
conflicts exist.
e. The technical special provisions which are a part of the Plans Package shall be prepared in
accordance with the FDOTs guidelines on preparation of technical special provisions and shall not
duplicate or change the general contracting provisions of the FDOTs Standard Specifications for
Road and Bridge Construction and any Supplemental Specifications, Special Provisions, or
Page 1 or 9
Exhibit A
g.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT
(AT FDOT EXPENSE)
Farm No. 710-010-21
UTILITIES
03120
Developmental Specifications of the FDOT for the Project.
UAO shall provide a copy of the proposed Plans Package to the FDOT, and to such other right of way
users as designated by the FDOT, for review at the following stages: Phase IV and Final Prior to
submission of the proposed Plans Package for review at these stages, the UAO shall send the FDOT
a work progress schedule explaining how the UAO will meet the FDOT's production schedule. The
work progress schedule shall include the review stages, as well as other milestones necessary to
complete the Plans Package within the time specified in Subparagraph a. above.
In the event that the FDOT finds any deficiencies in the Plans Package during the reviews performed
pursuant to Subparagraph f. above, the FDOT will notify the UAO in writing of the deficiencies and the
UAO will correct the deficiencies and retum corrected documents within the time stated in the notice.
The FDOT's review and approval of the documents shall not relieve the UAO from responsibility for
subsequently discovered errors or omissions.
h. The FDOT shall fumish the UAO such information from the FDOT's files as requested by the UAO;
however, the UAO shall at all time be and remain solely responsible for proper preparation of the
Plans Package and for verifying all information necessary to properly prepare the Plans Package,
including survey information as to the location (both vertical and horizontal) of the Facilities. The
providing of information by the FDOT shall not relieve the UAO of this obligation nor transfer any of
that responsibility to the FDOT.
The Facilities and the Utility Work will include all utility facilities of the UAO which are located within
the limits of the Project, except as generally summarized as follows: (N/A). These exceptions shall be
handled by separate arrangement
j. The UAO shall fully cooperate with all other right of way users in the preparation of the Plans
Package. Any conflicts that cannot be resolved through cooperation shall be resolved in the.manner
determined by the FDOT.
k. Upon completion of the Utility Work, the Facilities, shall be deemed to be located on the public road or
publicly owned rail corridor under and pursuant to the Utility Permit IN/A).
(Note: It is the intent of this line to allow either attachment of or separate reference to the permit).
I. The cost of any design work performed pursuant to this paragraph 1 shall be reimbursed by a
separate agreement.
m. As part of the final submittal of the Plans Package, the UAO shall also submit an estimate of the
amount of the cost of the Utility Work that should be paid for by the UAO, hereinafter referred to as the
UAO Participating Amount. The determination of that amount shall be based on the credit required for
any increase in the value of the new Facility and for any salvage derived from the old Facility. These
credits shall be determined as follows:
(1) Increase in value credit.
(a) Expired Service Life. If an entirely new Facility is constructed and the old Facility
retired, credit for the normally -expected service fife of the old Facility applies.
(b) Upgrading. A percentage of the total cost of the Relocation Work, based on the
extent of the betterment obtained from the new Facilities will be applied.
(2) Salvage Value. The FDOT shall receive fair salvage value credit for any salvage
which will become available to the UAO as a result of the Utility Work.
The submittal shall show the calculation of the UAO Participating Amount in detail for each
of the credits required above. The FDOT shall review the calculations and advise the UAO
Page 2 or 9
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT
(AT FDOT EXPENSE)
Forth No. 710-010-21
UTILITIES
03/20
of any objections. In the event that the parties cannot come to an agreement as to the UAO
Participating Amount, the FDOT's determination of the amount shall prevail.
2. Performance of Utility Work
a. The FDOT shall incorporate the Plans Package into its contract for construction of the Project.
b. The FDOT shall procure a contract for construction of the Project in accordance with the FDOT's
requirements.
c. The UAO shall perform all engineering inspection, testing, and monitoring of the Utility Work to insure
that it is properly performed in accordance with the Plans Package except for the following activities:
(N/A)
and will fumish the FDOT with daily diary records showing approved quantities and amounts for
weekly, monthly, and final estimates in accordance with the format required by the FDOT.
d. Except for the inspection, testing, monitoring and reporting to be performed by the UAO in
accordance with Subparagraph 2. c., the FDOT will perform all contract administration for its
construction contract.
e. The UAO shall fully cooperate with the FDOT and the FDOTs contractor in all matters relating to the
performance of the Utility Work.
f. The FDOT's engineer has full authority over the Project and the UAO shall be responsible for
coordinating and cooperating with the FDOTs engineer. In so doing, the UAO shall make such
adjustments and changes in the Plans Package as the FDOTs engineer shall determine are
necessary for the prosecution of the Project.
The UAO shaN not make any changes to the Plans Package after the date on which the FDOTs
contract documents are mailed to Tallahassee for advertisement of the Project unless those changes
fall within the categories of changes which are allowed by supplemental agreement to the FDOTs
contract pursuant to Section 337.11, Florida Statutes. All changes, regardless of the nature of the
change or the timing of the change, shall be subject to the prior approval of the FDOT.
g.
3. Cost of Utility Worts
a. Except as otherwise provided herein, the FDOT shall be responsible for all costs of the Utility Work
and all costs associated with any adjustments or changes to the Utility Work determined by the
FDOTs engineer to be necessary, including, but not limited to the cost of changing the Plans
Package and the increase in the cost of performing the Utility Work, unless the adjustments or
changes are necessitated by an error or omission of the UAO. The FDOT shall not be responsible
for the cost of delays caused by such adjustments or changes to the extent they are attributable to
the UAO pursuant to Subparagraph 4.a.
b. At such time as the FDOT prepares its official estimate, the FDOT shall notify the UAO of the UAO
Participating Amount, determined in accordance with Subparagraph 1.m. hereof.
c. At least thj 30 days prior to the date on which the FDOT advertises the Project for bids, the UAO
will pay to the FDOT the UAO Participating Amount.
d. If the UAO's percentage contribution to the portion of the bid of the contractor selected by the FDOT
which is for performance of the Utility Work (calculated by dividing the UAO's Participating Amount
by the amount of the FDOTs official estimate) exceeds the amount of the deposit made pursuant to
Subparagraph c. above, then the UAO shall, within fourteen (14) calendar days from notification from
the FDOT, or prior to posting of the accepted bid, whichever is earlier, pay an additional amount to
the FDOT to bring the total amount paid to the total percentage contribution of the UAO. If said
Page 3of9
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT
(AT FDOT EXPENSE)
Form No. 710-010-21
UTILITIES
03/20
portion of the bid is less than the amount on deposit, the excess deposit shall be retumed to the UAO
in accordance with Section 215.422, Florida Statutes.
e. The FDOT may use the funds paid by the UAO for payment of the cost of the Utility Work.
f. Payment of the funds pursuant to this paragraph will be made (choose one):
® directly to the FDOT for deposit into the State Transportation Trust Fund.
❑ as provided in the attached Three Party Escrow Agreement between the UAO, the FDOT,
and the State of Florida, Department of Financial Services, Division of Treasury. Deposits of
less than $100,000.00 must be pre -approved by the Department of Financial Services and
FDOT Comptrollers Office prior to execution of this agreement.
g Upon final payment to the contractor, the FDOT intends to have its final and complete billing of all
costs incurred in connection with the Utility Work within three hundred sixty (360) days. AN cost
records and accounts shall be subject to audit by a representative of the UAO within three (3) years
after final close out of the Project.
4. Claims Against UAO
a. The UAO shall be responsible for all costs incurred as a result of any delay to the FDOT or its
contractors caused by errors or omissions in the Plans Package (induding inaccurate location of the
Facilities) or by failure of the UAO to properly perform its obligations under this Agreement in a timely
manner.
b. In the event the FDOT's contractor provides a notice of intent to make a claim against the FDOT
relating to the Utility Work, the FDOT will notify the UAO of the notice of intent and the UAO will
thereafter keep and maintain daily field reports and all other records relating to the intended claim.
c. In the event the FDOTs contractor makes any daim against the FDOT relating to the Utility Worts, the
FDOT will notify the UAO of the claim and the UAO will cooperate with the FDOT in analyzing and
resolving the claim within a reasonable time. Any resolution of any portion of the daim directly
between the UAO and the FDOTs contractor shall be in writing, shall be subject to written FDOT
concurrence and shall specify the extent to which it resolves the clam against the FDOT.
5. Out of Service Facilities
No Facilities shall be placed out of service unless specifically identified as such in the Plans Package. The
following teens and conditions shall apply to Facilities placed Out -of -Service:
a. The UAO acknowledges its present and continuing ownership of and responsibi'ity for out of service
Facilities.
b. The FDOT agrees to allow the UAO to leave the Facilities within the right of way subject to the
continuing satisfactory performance of the conditions of this Agreement by UAO. In the event of a
breach of this Agreement by UAO, the Facilities shall be removed upon demand from the FDOT in
accordance with the provisions of Subparagraph e. below.
c. The UAO shall take such steps to secure the Facilities and otherwise make the Facilities safe in
accordance with any and all applicable local, state or federal laws and reputations and in accordance
with the legal duty of the UAO to use due care in its dealings with others. The UAO shall be solely
responsible for gathering all information necessary to meet these obligations.
d. The UAO shall keep and preserve all records relating to the Facilities, including, but not limited to,
records of the location, nature of, and steps taken to safely secure the Facilities and shall promptly
Page 4of8
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT
(AT FDOT EXPENSE)
Farm No. 710-010-21
UTILITIES
03/20
respond to information requests of the FDOT or other permittees using or seeking use of the right
of way.
e. The UAO shall remove the Facilities at the request of the FDOT in the event that the FDOT
determines that removal is necessary for FDOT use of the right of way or in the event that the FDOT
determines that use of the right of way is needed for other active utilities that cannot be otherwise
accommodated in the right of way. In the event that the out of service Facilities would have qualified
for reimbursement only under Section 337.403(1)(a), Florida Statutes, removal shall be at the sole
cost and expense of the UAO and without any right of the UAO to object or make any claim of any
nature whatsoever with regard thereto. In the event that the out of service Facilities would have
qualified for reimbursement for other reasons, removal of the out of service Facilities shall be
reimbursed by the FDOT as though it had not been placed out of service. Removal shall be
completed within the time specified in the FDOT's notice to remove. In the event that the UAO fails
to perform the removal properly within the specified time, the FDOT may proceed to perform the
removal at the UAO's expense pursuant to the provisions of Sections 337.403 and 337.404, Florida
Statutes.
f. Except as otherwise provided in Subparagraph e. above, the UAO agrees that the Facilities shall
forever remain the legal and financial responsibility of the UAO. The UAO shall reimburse the FDOT
for any and all costs of any nature whatsoever resulting from the presence of the Facilities within the
right of way. Said costs shall include, but shall not be limited to, charges or expenses which may
result from the future need to remove the Facilities or from the presence of any hazardous substance
or material in or discharging from the Facilities. Nothing in this paragraph shall be interpreted to
require the UAO to indemnify the FDOT for the FDOT's own negligence; however, it is the intent that
all other costs and expenses of any nature be the responsibility of the UAO.
6. Default
a. In the event that the UAO breaches any provision of this Agreement, then in addition to any other
remedies which are otherwise provided for in this Agreement, the FDOT may exercise one or more of
the following options, provided that at no time shall the FDOT be entitled to receive double recovery
of damages:
(1) Terminate this Agreement if the breach is material and has not been cured within sixty (60)
days from written notice thereof from FDOT.
(2) Pursue a claim for damages suffered by the FDOT.
(3) If the Utility Work is reimbursable under this Agreement, withhold reimbursement payments
until the breach is cured. The right to withhold shall be limited to actual claim payments
made by FDOT to third parties.
(4) If the Utility Work is reimbursable under this Agreement, offset any damages suffered by the
FDOT or the public against payments due under this Agreement for the same Project. The
right to offset shall be limited to actual claim payments made by FDOT to third parties.
(5) Suspend the issuance of further permits to the UAO for the placement of Facilities on FDOT
property if the breach is material and has not been cured within sixty (60) days from written
notice thereof from FDOT until such time as the breach is cured.
(6) Pursue any other remedies legally available.
Page 5o(9
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT
(AT FDOT EXPENSE)
Form No. 710-010-21
UTILITIES
0320
(7) Perform any work with its own forces or through contractors and seek repayment for the cost
thereof under Section 337.403(3), Florida Statutes.
b. In the event that the FDOT breaches any provision of this Agreement, then in addition to any other
remedies which are otherwise provided for in the Agreement, the UAO may exercise one or more of
the following options:
(1) Terminate this Agreement if the breach is material and has not been cured within sixty (60)
days from written notice thereof from the UAO.
(2) If the breach is a failure to pay an invoice for Utility Work which is reimbursable under this
Agreement, pursue any statutory remedies that the UAO may have for failure to pay
invoices.
(3) Pursue any other remedies legally available.
c. Termination of this Agreement shall not relieve either party from any obligations it has pursuant to
other agreements between the parties nor from any statutory obligations that either party may have
with regard to the subject matter hereof.
7. Force Majeure
Neither the UAO nor the FDOT shall be liable to the other for any failure to perform under this Agreement to
the extent such performance is prevented by an act of God, war, riots, natural catastrophe, or other event
beyond the control of the non-performing party and which could not have been avoided or overcome by the
exercise of due diligence; provided that the party claiming the excuse from performance has (a) promptly
notified the other party of the occurrence and its estimated duration, (b) promptly remedied or mitigated the
effect of the occurrence to the extent possible, and (c) resumed performance as soon as posslle.
8. Indemnification
FOR GOVERNMENT-OWNED UTILITIES,
To the extent provided by law, the UAO shall indemnify, defend, and hold harmless the FDOT and all of its
officers, agents, and employees from any claim; loss, damage, cost, charge, or expense arising out of any
acts, action, error, neglect, or omission by the UAO, its agents, employees, or contractors during the
performance of the Agreement, whether direct or indirect, and whether to any person or property to which
FDOT or said parties may be subject, except that neither the UAO, its agents, employees, or contractors will
be liable under this section for damages arising out of the injury or damage to persons or property directly
caused by or resulting from the negligence of the FDOT or any of its officers, agents, or employees during the
performance of this Agreement
When the FDOT receives a notice of claim for damages that may have been caused by the UAO in the
performance of services required under this Agreement, the FDOT will immediately forward the claim to the
UAO. The UAO and the FDOT will evaluate the claim and report their findings to each other within fourteen
(14) working days and will jointly discuss options in defending the claim. After reviewing the claim, the FDOT
will determine whether to require the participation of the UAO in the defense of the claim or to require the
UAO to defend the FDOT in such claim as described in this section. The FDOT's failure to notify the UAO of
a claim shall not release the UAO from any of the requirements of this section. The FDOT and the UAO will
pay their own costs for the evaluation, settlement negotiations, and trial, if any. However, if only one party
participates in the defense of the claim at trial, that party is responsible for all costs.
Page 6 of 9
k,r
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT
(AT FDOT EXPENSE)
FOR NON -GOVERNMENT-OWNED UTILITIES,
Form No. 710-010-21
UTILITIES
ouzo
The UAO shall indemnify, defend, and hold harmless the FDOT and all of its officers, agents, and employees
from any claim, Toss, damage, cost, charge, or expense arising out of any acts, action, error, neglect, or
omission by the UAO, its agents, employees, or contractors during the performance of the Agreement,
whether direct or indirect, and whether to any person or property to which FDOT or said parties may be
subject, except that neither the UAO, its agents, employees, or contractors will be liable under this section for
damages arising out of the injury or damage to persons or property directly caused by or resulting from the
negligence of the FDOT or any of its officers, agents, or employees during the performance of this
Agreement
The UAO's obligation to indemnify, defend, and pay for the defense or at the FDOT's option, to participate
and associate with the FDOT in the defense and trial .ofany damage claim or suit and any related settlement
negotiations, shall arise within fourteen (14) days of receipt by the UAO of the FDOTs notice of claim for
indemnification to the UAO. The notice of claim for indemnification shall be served by certified mail. The
UAO's obligation to defend and indemnify within fourteen (14) days of such notice shall not be excused
because of the UAO's inability to evaluate liability or because the UAO evaluates liability and determines the
UAO is not liable or determines the FDOT is solely negligent. Only a final adjudication or judgment finding
the FDOT solely negligent shall excuse performance of this provision by the UAO. The UAO shall pay all
costs and fees related to this obligation and its enforcement by the FDOT. The FDOTs delay in notifying the
UAO of a claim shall not release UAO of the above duty to defend.
9. Miscellaneous
a. Time is of essence in the performance of all obligations under this Agreement.
b. The Facilities shall at alt times remain the property of and be properly protected and maintained by
the UAO in accordance with the current Utility Accommodation Manual in effect at the time the Plans
Package is prepared and the current utility permit for the Facilities; provided, however, that the UAO
shall not be obligated to protect or maintain any of the Facilities to the extent the FDOTs contractor
has that obligation as part of the Utility Work pursuant to the FDOTs specifications.
c. The FDOT may unilaterally cancel this Agreement for refusal by the UAO to allow public access to all
documents, papers, letters, or other material subject to the provisions of Chapter 119, Florida
Statutes, and made or received by the UAO in conjunction with this Agreement.
d.. This Agreement constitutes the complete and final expression of the parties with respect to the
subject matter hereof and supersedes all prior agreements, understandings, or negotiations with
respect thereto, except that the parties understand and agree that the FDOT has manuals and
written policies and procedures which may be applicable at the time of the Project and the relocation
of the Facilities.
e. This Agreement shall be govemed by the laws of the State of Florida. Any provision hereof found to
be unlawful or unenforceable shall be severable and shall not affect the validity of the remaining
portions hereof.
f. All notices required pursuant to the terms hereof may be sent by first class United States Mail,
facsimile transmission, hand delivery, or express mail and shall be deemed to have been received by
the end of five business days from the proper sending thereof unless proof of prior actual receipt is
provided. The UAO shall have a continuing obligation to notify each District of the FDOT of the
appropriate persons for notices to be sent pursuant to this Agreement Unless otherwise notified in
writing, notices shall be sent to the following addresses:
Page 7 of 9
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT
(AT FDOT EXPENSE)
If to the UAO:
Duy Nguyen, E.I., Senior Engineering Specialist
100 S. Myrtle Ave.
Clearwater, FL 33756
If to the FDOT:
Daniel Hunter, District Utilities Administrator
11201 N. McKinley Dr. MS 7-820
Tampa, FL 33612
10. Certification
Form No. 710-010-21
UTILITIES
03/20
This document is a printout of an FDOT form maintained in an electronic format and all revisions thereto by
the UAO in the form of additions, deletions, or substitutions are reflected only in an Appendix entitled
Changes To Form Document and no change is made in the text of the document itself. Hand notations on
affected portions of this document may refer to changes reflected in the above-named Appendix but are for
reference purposes only and do not change the terms of the document. By signing this document, the UAO
hereby represents that no change has been made to the text of this document except through the terms of the
appendix entitled Changes To Form Document"
You MUST signify by selecting or checking which of the following applies:
O No changes have been made to this Form Document and no Appendix entitled 'Changes to Form
Document" is attached.
® No changes have been made to this Form Document, but changes are included on the attached
Appendix entitled 'Changes to Form Document.'
114 WITNESS WHEREOF, the parties hereto have executed this Agreement effective the day and year first written.
UTILITY: City of Clearwater / Public Utilities Department
BY:(Signature) DATE:
(Typed Name: fsee appendix))
(Typed Title:
Recommend Approval by the District Utility Office
BY: (Signature) DATE:
Page 8 o 9
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT
(AT FDOT EXPENSE)
Farm No. 710-010-21
UTILITIES
03/20
FDOT Legal review
BY: fSianature)
DATE:
District Counsel
STATE OF FLORIDA
DEPARTMENT OF TRANSPORTATION
BY: JSianature)
(Typed Name: Richard Moss. PE)
(Typed Title: Director of Transportation Development)
DATE:
FEDERAL HIGHWAY ADMINISTRATION (if applicable)
BY:
(Typed Name: 1
(Typed Title: _ 1
Page 9 of 9
DATE:
APPENDIX
State of Florida Department of Transportation
UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT
CHANGES TO FORM DOCUMENT
FPID: 409155-1-56-01
1. Page 9 of 9, following "IN WITNESS WHEREOF...year first within."
Add the following signature blocks following the "Utility...(Typed Title)" blank:
Countersigned: CITY OF CLEARWATER, FLORIDA
Frank Hibbard
Mayor
By:
Approved as to form: Attest:
Laura Mahony
Assistant City Attorney
William B. Horne II
City Manager
Rosemarie Call
City Clerk