D. Costs and Contributions - Please fill in the following worksheet to determine the total project costs Right-of Way allowance $________________ Preliminary Engineering $________________ Construction Engineering $________________ Total Engineering $________________ Bridge Construction $________________ Railroad Work $________________ Highway Approaches & Connections $________________ Utility Relocation $________________ Contingencies $________________ Removing Existing Crossing $________________ Total Construction Costs $________________ TOTAL PROJECT COST $________________ ALLOCATED SHARE FROM STATE FUND: $________________ Contributions: City $ County $ Railroad $ Other (specify) $ Accident History Data Total Number of Trains vs. Vehicle and Pedestrian Accidents * Source Date Killed Injured Source Date Killed Injured Source Date Killed Injured Source Date Killed Injured * List all accidents separately in the 10 years period prior to the nomination due date of Friday, October 20, 2017 (from October 21, 2007 to October 20, 2017. For each accident specify the accident date, the number of fatalities and injuries. Blocking Delay and Speed Limits Total Blocking Delay Min Number of Observed Delays Information Provided by: Railroad [ ] Observation [ ] Date Delays Verified
D. Costs and Contributions - Please fill in the following worksheet to determine the total project costs Right-of Way allowance $________________ Preliminary Engineering $________________ Construction Engineering $________________ Total Engineering $________________ Bridge Construction $________________ Railroad Work $________________ Highway Approaches & Connections $________________ Utility Relocation $________________ Contingencies $________________ Removing Existing Crossing $________________ Total Construction Costs $________________ TOTAL PROJECT COST $________________ ALLOCATED SHARE FROM STATE FUND: $________________ Contributions: City $ County $ Railroad $ Other (specify) $ Accident History Data Total Number of Trains vs. Vehicle and Pedestrian Accidents * Source Date Killed Injured Source Date Killed Injured Source Date Killed Injured Source Date Killed Injured * List all accidents separately in the 10 years period prior to the nomination due date of Friday, October 20, 2017 (from October 21, 2007 to October 20, 2017. For each accident specify the accident date, the number of fatalities and injuries. Blocking Delay and Speed Limits Total Blocking Delay Min Number of Observed Delays Information Provided by: Railroad [ ] Observation [ ] Date Delays Verified