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<br />Financial Proiect ID: 409268 <br />Work Proaram Item No. (old): <br />State Job No. (old): <br />Utili tv Aaency/Owner (UAO): <br /> <br />, <br /> <br />Federal Proiect 10:' <br />County/Section No: <br />District Document No: <br /> <br />Cit~ of North Mia~i Beach <br /> <br />'A. <br /> <br />Summary of Relocation And Execution <br /> <br />NON-CONSTRUCTION ITEMS <br /> <br />ESTIMATED <br />CALENDAR DAYS <br /> <br />CONSTRUCTION ITEMS <br /> <br />ESTIMATED <br />CALENDAR OA YS <br /> <br />Preliminary <br /> <br />Prior to FOOT Project Construction <br /> <br />5 <br /> <br />Material Procurement <br /> <br />. .1. 4: <br /> <br />During FDOT Project Construction <br /> <br />Right-of-Way Acquisition <br /> <br />Other <br /> <br />This document has been developed as the method for a Utility Agency/Owner (UAO) to transmit to the Florida Department of <br />Transportation (FOOT), the Highway Contractor, arid other right-of~w<;iY users, the location, relocation, adjustment, <br />installation, and/or protection of their facilities, on this FOOT project The following data is based on FOOT preliminary <br />construction plans dated 12/13/01 . Any deviation by the FOOT or its contractor from the plans, a1> provided, may <br />render this relocation schedule null and void. Upon notification by FOOT of such change, this utility may require additional <br />days for assessment and negotiation of a new relocation schedule. This UAO is not responsible for events beyond the <br />control of the UAO that could not reasonably be antiCipated by the UAO and which could not be avoided by the UAO with the <br />exercise of due diligence at the time of the occurrence. The UAO agrees to notify the Department in writing prior to starting, <br />stopping, resuming, or completing'work. <br /> <br />Duri~g the project, the UAO shall locate their facilities within 48 hours of notice to their <br /> <br />Representative Kar im' Ross y <br /> <br />, Telephone Number '( '305)' '9"48-2967 <br /> <br />This UAO's Field Representative is Luis Mendoza <br /> <br />. Telephone Number (305) 948-2967 <br /> <br />This document is a printout of an FDOT form maintained in an electronic format and all revisions thereto by the UAO in the <br />! form of additions, deletions or substitutions are reflected only in an Appendix entitled "Changes to Form Document" and no <br />change is made in the text of the document itself. Hand notations on affected portions of this document may refer to changes <br />reflected in the above-named Appendix but are for reference purposes only and do not change the terms of the document. <br />By signing this document, the UAO hereby represents that no change has been made to the text of this document except <br />through the terms of the appendix entitled UChanges to Form Document". <br /> <br />Authorized Utility Agent: <br /> <br />~~ <br />(Signature) <:J- <br /> <br />~/I'-II,-".., <br />(Date) <br /> <br />Acceptance by District Utilities: <br /> <br />~ t:?-~~ <br />igna ure) <br /> <br />2.,"'" I 4-- (/ 2- <br />(Date) <br /> <br />Karim Rossy <br />(Printed Name) <br /> <br />Utilities Engineering Manager <br /> <br />(Title) <br /> <br />(Printed Name) Jo:rge A. Frases ~ 'J?..E. <br /> <br />(Title) District Utili.ty Engineer <br /> <br />3 <br /> <br />Page.!:.. of 3 <br />