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HomeMy WebLinkAboutIowa Department of Transportation-Iowa Grade Crossing Surface Repair Fund Application Iowa Department of Transportation Form 291302wd (08-07) IOWA GRADE CROSSING SURFACE REPAIR FUND APPLICATION This notice is to inform the Office of Rail Transportation of the Iowa Department of Transportation that the and the (Highway Authority) Union Pacific Railroad are submitting this (Railroad) application to use the Iowa Grade Crossing Surface Repair Fund for reconstruction of the crossing located at Waterloo 200781L Location U.S. DOT-MR-DOT No Black Hawk County General scope of project: Number of tracks to be repaired 1 Number of tracks to be removed 0 Crossing Width (or surface material width) 80 (Width includes footage curb to curb, thru sidewalks, recreational trails, or shoulders) Roadway width 24 Number of Sidewalks (1 or 2) 2 Proposed surface material Concrete Preliminary Cost Estimate: Labor $49,000.00 Material $51,000.00 Equipment $2,000.00 Approach work $9,000.00 Total $111,000.00 Use of this document is to reserve a place on the Iowa Grade Crossing Surface Repair Fund waiting list. Prior to writing an agreement, a field review with the railroad, highway jurisdiction, and Iowa Department of Transportation will be held to agree on the details of work to be performed.The highway authority and railroad must agree to each pay 20 percent of the total project cost. )7)/L-C Signature,Hig�way Authority Signature, Railroad Rep entafive r f Ck,f-C- I 1r a yo y' Manager Industry and Public Projects Title Title —® September 21,2009 Date Date Return Completed Form To: Mary Jo Key • Office of Rail Transportation Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 515-239-1108 Fax:515-233-7983 E-Mail: Mary.Jo.KevRdot.state.ia.us fcA Iowa Department of Transportation a4a4/AeA4 �I Form 291302wd (08-07) hLp 4vr .1 a OF- 9' ` IOWA GRADE CROSSING SURFACE REPAIR FUND APPLICATION This notice is to inform the Office of Rail Transportation of the Iowa Department of Transportation that the City of Waterloo and the (Highway Authority) Chicago Central&Pacific Railroad are submitting this (Railroad) application to use the Iowa Grade Crossing Surface Repair Fund for reconstruction of the crossing located at Burton Street 307 173S Location U.S. DOT-MR-DOT No Black Hawk County General scope of project: Number of tracks to be repaired 2 Number of tracks to be removed 0 Crossing Width (or surface material width) 75 (Width includes footage curb to curb, thru sidewalks, recreational trails, or shoulders) Roadway width 50 Number of Sidewalks (1 or 2) Proposed surface material Full Depth Rubber Preliminary Cost Estimate: Labor $21,200.00 Material $83,800.00 Equipment $9,300.00 Approach work $26,900 Total $141,200.00 Use of this document is to reserve a place on the Iowa Grade Crossing Surface Repair Fund waiting list. Prior to writing an agreement, a field review with the railroad, highway jurisdiction, and Iowa Department of Transportation will be held to agree on the details of work to be performed.The highway authority and railroad must agree to each pay 20 percent of the total project cost. ��- ' 2w- � , Signature, Highway Authority Signature, ilroad Representative mayor C G1blic NOvI6S I'4 ittflage_�^ Title Title q - 67/1/4 Date Date Return Completed Form To: Mary Jo Key Office of Rail Transportation Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 515-239-1108 Fax: 515-233-7983 E-Mail: Mary.Jo.Keyc dot.state.ia.us ilkIowa Department of Transportation Form 291302wd (08-07) IOWA GRADE CROSSING SURFACE REPAIR FUND APPLICATION This notice is to inform the Office of Rail Transportation of the Iowa Department of Transportation that the City of Waterloo and the (Highway Authority) Chicago Central &Pacific Railroad are submitting this (Railroad) application to use the Iowa Grade Crossing Surface Repair Fund for reconstruction of the crossing located at Columbia Street 307 168V Location U.S. DOT—AAR-DOT No Black Hawk County General scope of project: Number of tracks to be repaired 2 Number of tracks to be removed 0 Crossing Width (or surface material width) 90 (Width includes footage curb to curb,thru sidewalks, recreational trails, or shoulders) Roadway width 31 Number of Sidewalks (1 or 2) Proposed surface material Full Depth Rubber Preliminary Cost Estimate: Labor $21,200.00 Material $96,600.00 Equipment $10,400.00 Approach work $28,200.00 Total $156,400.00 Use of this document is to reserve a place on the Iowa Grade Crossing Surface Repair Fund waiting list. Prior to writing an agreement, a field review with the railroad, highway jurisdiction, and Iowa Department of Transportation will be held to agree on the details of work to be performed.The highway authority and railroad must agree to each pay 20 percent of the total project cost. All°114 Signature, Highway Authority Signature ailroad Representative OG.yo r l ��liG hid;"KS l '1f 7a9e Title Title q- 24-o 9 9/1p Date Date Return Completed Form To: Mary Jo Key Office of Rail Transportation Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 515-239-1108 Fax:515-233-7983 E-Mail: Marv.Jo.Kevt dot.state.ia.us Or:8N Iowa Departmentd of oa Transportation Form -07) IOWA GRADE CROSSING SURFACE REPAIR FUND APPLICATION This notice is to inform the Office of Rail Transportation of the Iowa Department of Transportation that the City of Waterloo and the (Highway Authority) Chicago Central &Pacific Railroad are submitting this (Railroad) application to use the Iowa Grade Crossing Surface Repair Fund for reconstruction of the crossing located at Dawson Street 307 167N Location U.S. DOT—MR-DOT No Black Hawk County General scope of project: Number of tracks to be repaired 2 Number of tracks to be removed 0 Crossing Width (or surface material width) 102 (Width includes footage curb to curb, thru sidewalks, recreational trails, or shoulders) Roadway width 31 Number of Sidewalks (1 or 2) Proposed surface material Full Depth Rubber Preliminary Cost Estimate: Labor $21,200.00 Material $109,500.00 Equipment $11,500.00 Approach work $29,600.00 Total $171,800.00 Use of this document is to reserve a place on the Iowa Grade Crossing Surface Repair Fund waiting list. Prior to writing an agreement, a field review with the railroad, highway jurisdiction, and Iowa Department of Transportation will be held to agree on the details of work to be performed.The highway authority and railroad must agree to each pay 20 percent of the total project cost. 'NU/L. hoLLk Signature, Highway Authori Signature, Railroad Representative Play° r Public Works Manager Title Title q-O I-O 1 September 1, 2009 Date Date Return Completed Form To: Mary Jo Key Office of Rail Transportation Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 515-239-1108 Fax: 515-233-7983 E-Mail: Mary.Jo.Kevaa.dot.state.ia.us Iowa Depart l soent2wd o oa oansportation Form 7) NIGIO IOWA GRADE CROSSING SURFACE REPAIR FUND APPLICATION This notice is to inform the Office of Rail Transportation of the Iowa Department of Transportation that the City of Waterloo and the (Highway Authority) Chicago Central &Pacific Railroad are submitting this (Railroad) application to use the Iowa Grade Crossing Surface Repair Fund for reconstruction of the crossing located at Flectcher Avenue 911 774P Location U.S. DOT—AAR-DOT No Black Hawk County General scope of project: Number of tracks to be repaired 1 Number of tracks to be removed 0 Crossing Width (or surface material width) 117 (Width includes footage curb to curb, thru sidewalks, recreational trails, or shoulders) Roadway width 92 Number of Sidewalks (1 or 2) Proposed surface material Full Depth Rubber Preliminary Cost Estimate: Labor $21,200.00 Material $73,300.00 Equipment $8,400.00 Approach work $25,700.00 Total $128,600.00 Use of this document is to reserve a place on the Iowa Grade Crossing Surface Repair Fund waiting list. Prior to writing an agreement, a field review with the railroad, highway jurisdiction, and Iowa Department of Transportation will be held to agree on the details of work to be performed.The highway authority and railroad must agree to each pay 20 percent of the total project hAnkL) Signature, Railroad Signature, Highway Authority 9Representative ThGt.ye' r Public Works Manager Title Title 9 - t - 0 5 September 1, 2009 Date Date Return Completed Form To: Mary Jo Key Office of Rail Transportation Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 515-239-1108 Fax:515-233-7983 E-Mail: Marv.Jo.Kevl dot.state.ia.us Iowa P2a2r9tiTticti o ogT oansportation IOWA GRADE CROSSING SURFACE REPAIR FUND APPLICATION This notice is to inform the Office of Rail Transportation of the Iowa Department of Transportation that the City of Waterloo and the (Highway Authority) Chicago Central &Pacific Railroad are submitting this (Railroad) application to use the Iowa Grade Crossing Surface Repair Fund for reconstruction of the crossing located at Rainbow Dr, MP 2.43 Northland Oil Spur 307 897M Location U.S. DOT—AAR-DOT No Black Hawk County General scope of project: Number of tracks to be repaired 2 Number of tracks to be removed 0 Crossing Width (or surface material width) 54 (Width includes footage curb to curb, thru sidewalks, recreational trails, or shoulders) Roadway width 48 Number of Sidewalks (1 or 2) Proposed surface material Full Depth Rubber Preliminary Cost Estimate: Labor $20,500.00 Material $64,000.00 Equipment $7,400.00 Approach work $23,000.00 Total $114,900.00 Use of this document is to reserve a place on the Iowa Grade Crossing Surface Repair Fund waiting list. Prior to writing an agreement, a field review with the railroad, highway jurisdiction, and Iowa Department of Transportation will be held to agree on the details of work to be performed.The highway authority and railroad must agree to each pay 20 percent of the total project cost. Signature, Highway Authority Signature, Railroad Representative ch Q yo r Public Works Manager Title Title 4'-1/-o'1 September 1, 2009 Date Date Return Completed Form To: Mary Jo Key Office of Rail Transportation Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 515-239-1108 Fax:515-233-7983 E-Mail: Mary.Jo.Kev(a?.dot.state.ia.us Iowa Department of Transportation Form ) IOWA GRADE CROSSING SURFACE REPAIR FUND APPLICATION This notice is to inform the Office of Rail Transportation of the Iowa Department of Transportation that the City of Waterloo and the (Highway Authority) Chicago Central &Pacific Railroad are submitting this (Railroad) application to use the Iowa Grade Crossing Surface Repair Fund for reconstruction of the crossing located at Colorado Street - MP 274.54 Waterloo Sub 307 115W Location U.S. DOT—AAR-DOT No Black Hawk County General scope of project: Number of tracks to be repaired 2 Number of tracks to be removed 0 Crossing Width (or surface material width) 57 (Width includes footage curb to curb, thru sidewalks, recreational trails, or shoulders) Roadway width 29 Number of Sidewalks (1 or 2) Proposed surface material Full Depth Rubber Preliminary Cost Estimate: Labor $21,200.00 Material $65,500.00 Equipment $7,700.00 Approach work $24,900.00 Total $119,300.00 Use of this document is to reserve a place on the Iowa Grade Crossing Surface Repair Fund waiting list. Prior to writing an agreement, a field review with the railroad, highway jurisdiction, and Iowa Department of Transportation will be held to agree on the details of work to be performed.The highway authority and railroad must agree to each pay 20 percent of the total project cost. azit Signatu e, Highway Authority Signature, Railroad Representative ray° r Public Works Manager Title Title q-a/-pc, September 1, 2009 Date Date Return Completed Form To: Mary Jo Key Office of Rail Transportation Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 515-239-1108 Fax: 515-233-7983 E-Mail: Marv.Jo.Kev(o)dot.state.ia.us OrA Iowa Depa s Dent o oT-r�a�nsportation IOWA GRADE CROSSING SURFACE REPAIR FUND APPLICATION This notice is to inform the Office of Rail Transportation of the Iowa Department of Transportation that the City of Waterloo and the (Highway Authority) Chicago Central &Pacific Railroad are submitting this (Railroad) application to use the Iowa Grade Crossing Surface Repair Fund for reconstruction of the crossing located at Polk Street -MP 274.68 Waterloo Sub 307 116D Location U.S. DOT—AAR-DOT No Black Hawk County General scope of project: Number of tracks to be repaired 2 Number of tracks to be removed 0 Crossing Width (or surface material width) 102 (Width includes footage curb to curb, thru sidewalks, recreational trails, or shoulders) Roadway width 31 Number of Sidewalks (1 or 2) Proposed surface material Full Depth Rubber Preliminary Cost Estimate: Labor $21,200.00 Material $109,500.00 Equipment $11,500.00 Approach work $29,600.00 Total $171,800.00 Use of this document is to reserve a place on the Iowa Grade Crossing Surface Repair Fund waiting list. Prior to writing an agreement, a field review with the railroad, highway jurisdiction, and Iowa Department of Transportation will be held to agree on the details of work to be performed.The highway authority and railroad must agree to each pay 20 percent of the total project cost. Signature, Highway Authority Signature, Railroad Representative 1)74 y n r Public Works Manager Title Title 9-1frO/ September 1, 2009 Date Date Return Completed Form To: Mary Jo Key Office of Rail Transportation Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 515-239-1108 Fax:515-233-7983 E-Mail: Marv.Jo.Key(a.dot.state.ia.us Iowa Department of Transportation l`� Form 291302wd (08-07) IOWA GRADE CROSSING SURFACE REPAIR FUND APPLICATION This notice is to inform the Office of Rail Transportation of the Iowa Department of Transportationthattke 0 ,f, and thre (Highway Authority) c.v �o✓�i wy Lv, are submitting this (Railroad) application to use the Iowa Grade Crossing Surface Repair Fund for reconstruction of the crossing located at Xes71- 871' 31-cecf Go7 S ?9 Location U.S. DOT—AAR-DOT No .13/Act /74w 1�C County General scope of project: Number of tracks to be repaired / Number of tracks to be removed 0 Crossing Width (or surface material width) 0 (Width includes footage curb to curb, thru sidewalks, recreational trails, or shoulders) Roadway width 3 Number of Sidewalks (1 or 2) — Proposed surface material e o c C f .�C Preliminary Cost Estimate: Labor $ /0, 000 Material $ 32, 000 Equipment $ 0-1 3O0 Approach work $ 6 000 Total $0.00 5,, ,300 Use of this document is to reserve a place on the Iowa Grade Crossing Surface Repair Fund waiting list. Prior to writing an agreement, a field review with the railroad, highway jurisdiction, and Iowa Department of Transportation will be held to agree on the details of work to be performed. The highway authority and railroad must agree to each pay 20 percent of the total project cost. % ice/ Si ature, Highway Authority Signature, Railroad Representative mayor goc,J .,4-7a51-ev Title Title ol- Clot 3 , 2009 Date Date Return Completed Form To: Mary Jo Key Office of Rail Transportation Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 515-239-1108 Fax: 515-233-7983 E-Mail: Mary.Jo.KeV(a�dot.state.ia.us -vivisf -A\ (w ftiv/A:irk r- @.E,--v,E\-L--J gviti Mfi, PA.A51 CLIENT NAME: City of Waterloo ASC ACCOUNT NUMBER: C528 ADDRESS 1 715 Mulberry Street CITY, STATE,ZIP Waterloo, IA 50703 PHONE 319-291-4323 ASC's system provider, CS Stars, has chosen Gould & Lamb as their strategic partner for MMSEA queries & submissions. ASC will pass these fees on to you with no additional charges at the time we are invoiced by CS Stars. The charges to ASC per client for this service are: $ 680.00 - 1 time implementation/programming fee. $1,920.00 - Annual transmission/submission fee beginning on the date of first transmission. By your signature below you acknowledge and agree to pay the fees outlined above within 30 days of the date of ASC's invoice. ASC will be unable to proceed with programming and/or transmission to, or on behalf of, your carrier until receipt of the signed form. Signed: Signed by (print or type): Tim Hurl Title: Mayor Date: q- .2/ 09 RETURN TO Ann Massey, Business Systems Coordinator Alternative Service Concepts, LLC., 2501 McGavock Pike, Suite 802, Nashville, TN 37214 E-mail Ann.Massey@ASCRisk.com or Fax: 615-360-1343 2aSF01080509 ifAIowa Department of Transportation Form 291302wd (08-07) IOWA GRADE CROSSING SURFACE REPAIR FUND APPLICATION This notice is to inform the Office of Rail Transportation of the Iowa Department of Transportation that the and the (Highway Authority) o CA /yi o i71-4 G ci ,e1A. ,-/4.0 ay �O: are submitting this (Railroad) application to use the Iowa Grade Crossing Surface Repair Fund for reconstruction of the crossing located at West ?Ill 0 ? S 80 X Location U.S. DOT—AAR-DOT No c8 /0k K1i1c40, f( County General scope of project: Number of tracks to be repaired Number of tracks to be removed 0 Crossing Width (or surface material width) 8 / (Width includes footage curb to curb, thru sidewalks, recreational trails, or shoulders) Roadway width 14 S Number of Sidewalks (1 or 2) / Proposed surface material Co it Preliminary Cost Estimate: Labor $ /),/ Oct Material $ SOS DOO Equipment $ G/ 2 00 Approach work $ ?, D DO Total $0.00 75 /a) Use of this document is to reserve a place on the Iowa Grade Crossing Surface Repair Fund waiting list. Prior to writing an agreement, a field review with the railroad, highway jurisdiction, and Iowa Department of Transportation will be held to agree on the details of work to be performed. The highway authority and railroad must agree to each pay 20 percent of the total project cost. /?•-et Signature, Highway AuthoritySignature, Representative Railroad Re resentative / Olayor /fouct� 14e✓ Title Title q- 3 Zoo 9 Date Date Return Completed Form To: Mary Jo Key Office of Rail Transportation Iowa Department of Transportation 800 Lincoln Way Ames, Iowa 50010 515-239-1108 Fax: 515-233-7983 E-Mail: Marv.Jo.Kev@dot.state.ia.us 4