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Home My WebLink About20211138.tiffRESOLUTION RE: APPROVE APPLICATION TO REMOVE EXISTING ACTIVE WARNING SIGNALS AND GATES, CROSSING SURFACE AND ROAD APPROACHES, TO CLOSE EXISTING CROSSING AT TRACKS OWNED BY UNION PACIFIC RAILROAD (UPRR) COMPANY, CROSSING COUNTY ROAD 44, AND AUTHORIZE CHAIR TO SIGN WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with an Application to Remove the Existing Active Warning Signals and Gates, Crossing Surface and Road Approaches, to Close the Existing Crossing at Tracks Owned by the Union Pacific Railroad (UPRR) Company, said Crossing at County Road 44, among the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, and the Colorado Department of Transportation (CDOT), to the Public Utilities Commission (PUC), with further terms and conditions being as stated in said application, and WHEREAS, after review, the Board deems it advisable to approve said application, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the Application to Remove the Existing Active Warning Signals and Gates, Crossing Surface and Road Approaches, to Close the Existing Crossing at Tracks Owned by the Union Pacific Railroad (UPRR) Company, said Crossing at County Road 44, among the County of Weld, State of Colorado, by and through the Board of County Commissioners of Weld County, on behalf of the Department of Public Works, and the Colorado Department of Transportation (CDOT), to the Public Utilities Commission (PUC), be, and hereby is, approved. BE IT FURTHER RESOLVED by the Board that the Chair be, and hereby is, authorized to sign said application. CC:Pw(ER / H) O1/Ict '22 2021-1138 EG0079 APPLICATION TO REMOVE EXISTING ACTIVE WARNING SIGNALS AND GATES, CROSSING SURFACE AND ROAD APPROACHES, TO CLOSE EXISTING CROSSING AT TRACKS OWNED BY UNION PACIFIC RAILROAD (UPRR) COMPANY, CROSSING COUNTY ROAD 44 PAGE 2 The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 28th day of April, A.D., 2021. BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO ATTEST: ddrAtIo jCit,•11 Weld County Clerk to the Board BY: AP ounty torney Steve reno, Chair Sc•_....�,__ mes, Pro -T Lori Saine Date of signature: 05/04/21 2021-1138 EG0079 0n+rac+ 4 19 BOARD OF COUNTY COMMISSIONERS PASS -AROUND REVIEW PASS -AROUND TITLE: PUC Application WCR 44 (Peckham) DEPARTMENT: Public Works DATE: April 19, 2021 PERSON REQUESTING: Elizabeth Relford, Deputy Director Brief description of the problem/issue: Public Works requests your approval to put the attached Public Utilities Commission (PUC) application on the April 26, 2021 BOCC agenda for the railroad crossing closure of WCR 44. This application authorizes CDOT to perform the closures at their cost, which is estimated to be $190,000 and contingent up the completion of the Peckham Grade Separation. This application is consistent with our IGA with CDOT. What options exist for the Board? (include consequences, impacts, costs, etc. of options): • Allow the attached application to be placed on the next available BOCC agenda for signature. • Request a work session to discuss. Recommendation: Staff recommends the BOCC place the PUC application on the next available BOCC agenda for authorization of the Chair's signature. Perry L. Buck Mike Freeman Scott K. James, Pro -Tern Steve Moreno, Chair Lori Saine Approve Recommendation ykt Schedule Work Session Other/Comments: 2021-1138 C7 ©o7 CJ BEFORE THE PUBLIC UTILITIES COMMISSION OF THE STATE OF COLORADO PROCEEDING NO. IN THE MATTER OF THE APPLICATION OF THE COLORADO DEPARTMENT OF TRANSPORTATION AND WELD COUNTY, FOR AUTHORITY TO REMOVE EXISTING ACTIVE WARNING SIGNALS AND GATES, CROSSING SURFACE AND ROAD APPROACHES TO CLOSE THE EXISTING CROSSING AT TRACKS OWNED BY UNION PACIFIC RAILROAD COMPANY CROSSING COUNTY ROAD 44, USDOT NO. 804-352D, IN WELD COUNTY, STATE OF COLORADO. APPLICATION The Colorado Department of Transportation, and Weld County hereinafter referred to as "APPLICANT", hereby submits this application to the Colorado Public Utilities Commission, hereinafter referred to as "PUC", for an order authorizing the removal of existing active warning signals and gates, and crossing surface, and removal of roadway approaches to close the existing County Road 44 crossing of Union Pacific Railroad, hereinafter referred to as "UPRR" or "Railroad" tracks for which CDOT has appropriated Federal Section 130 Funds in Weld County, State of Colorado. This application is for closure of County Road 44 after a new grade separated overpass crossing of the UPRR tracks is completed and open to the public, titled the Peckham Interchange, to be constructed in the vicinity of County Road 44, and for which CDOT will make application to the PUC under separate filing. Following are APPLICANTs responses to the specific requirements concerning highway - rail grade crossing applications, as prescribed in 4 Code of Colorado Regulations (CCR) 723-7- 7002(b)(I-IX), 4 CCR 723-7204(a)(I), and 4 CCR 723-7-7204(a)(II) - (XVIII) and 4 CCR 723-7- 7205 as required, including without limitation, acknowledgement that by signing the application, APPLICANT understands that the filing of the application does not by itself constitute approval of the application for the requested action. Consistent with Rule 7002(b), 4 CCR 723-7, the information below is provided within this application, or in an appropriately identified attachment to this application as indicated. Information Required 1� Rule 7002(b) A. Rule 7002(b)(I) The name and mailing address of APPLICANT: Colorado Department of Transportation Weld County 2829 W. Howard Place, 3rd Floor 1150 O Street Denver, CO 80204 Greeley, CO 80631 1 02OO1-1- f/3 Y B. Rule 7002(b)(II) If the applicant is a corporation or limited liability company; the name of the state in which the applicant is incorporated or organized and the location of its principal office, if any, in Colorado: APPLICANT is not a corporation or a limited liability company. C. Rule 7002(b)(III) If the applicant is a partnership; the names, titles and addresses of all general and limited partners: APPLICANT is not a partnership. D. Rule 7002(b)(IV) The name, address, telephone number, and e-mail address of the applicant's representative to whom all inquiries concerning the application may be made: Rob Martindale Railroad Program Manager Colorado Department of Transportation 2829 W. Howard Place, 3rd Floor Denver, CO 80204 Ph: 970-210-5913 Email: rob.martindale@state.co.us E. Rule 7002(b)(V) A statement that the applicant agrees to respond to all questions propounded by the Commission or its staff concerning the application: APPLICANT agrees to respond to all questions propounded by the Commission or its staff concerning the application. F. Rule 7002(b)(VI) A statement indicating the town or city, and any alternative town or city, where the applicant prefers any hearings to be held: APPLICANT prefers any hearings to be held at the Commission office in Denver, or, in the alternative, at any other location which the Commission may designate. 2 G. Rule 7002(b)(VII) A statement that the applicant understands that, if any portion of the application is found to be false or to contain material misrepresentations, any authorities granted pursuant to the application may be revoked upon Commission decision: APPLICANT understands that, if any portion of the application is found to be false or to contain material misrepresentations, any authorities granted pursuant to the application may be revoked upon Commission decision. H. Rule 7002(b)(VIII) Acknowledgement that by signing the application, the applicant understands that: 1. The filing of the application does not by itself constitute approval of the application for the requested action; 2. If the application is granted, the applicant shall not commence the requested action until the applicant complies with applicable Commission rules and any pre - construction conditions established by Commission decision granting the application; 3. If a hearing is held, the applicant must present evidence at the hearing to establish its qualifications to undertake, and its right to undertake, the requested action; and 4. In lieu of the statement contained in subparagraphs (b)(VII)(A) through(C) of this paragraph, an applicant may include a statement that it has read, and agrees to abide by, the provisions of subparagraphs (b)(VII)(A) through(C) of this paragraph. APPLICANT acknowledges that by signing the application: 1. The filing of the application does not by itself constitute approval of the application for the requested action; 2. If the application is granted, the applicant shall not commence the requested action until the applicant complies with applicable Commission rules and any pre - construction conditions established by Commission decision granting the application; 3. If a hearing is held, the applicant must present evidence at the hearing to establish its qualifications to undertake, and its right to undertake, the requested action; and 4. In lieu of the statement contained in subparagraphs (b)(VII)(A) through(C) of this paragraph, an applicant may include a statement that it has read, and agrees to abide by, the provisions of subparagraphs (b)(VII)(A) through(C) of this paragraph. I. Rule 7002(b)(IX) An attestation which is made under penalty of perjury; which is signed by an officer, a partner, an owner, an employee of, an agent for, or an attorney for the applicant, as appropriate, who is authorized to act on behalf of the applicant; and which states that the contents of the application are true, accurate, and correct. The application shall contain the title and the complete address of the affiant. 3 See attached Affidavit. II. Information Required la Rule 7204(a) A. Rule 7204(a)(I) - All crossing applications shall contain the following information: (A) The contact person name, mailing address and e-mail address to whom the Commission notice is to be sent: (i) If the application is filed by a road authority, provide the above information for each railroad, railroad corporation, rail fixed guideway, or transit agency that owns the tracks affected by an application. Kenneth Tom Lance Kippen (Local UP Rep) Manager Public Projects Industry & Public Projects Union Pacific Railroad RailPros 2015 S. Willow Avenue 360 S. Fort Lane, Suite 3A Bloomington, CA 92316 Layton, Utah 84041 (ii) If the application is filed by a railroad, railroad corporation, rail fixed guideway, transit agency, or other person, firm, or corporation that will own the tracks, provide the above information for each road authority that owns the roadway affected by the application. N/A (B) The railroad and/or rail fixed guideway line name and milepost number where the crossing that is subject of the application is located. Union Pacific Railroad, Great Plains Division, Greeley Sub, MP 42.38 (C) The National Inventory Number and the National Inventory Form for an existing crossing, or a statement that no National Inventory Number and/or National Inventory Form exists for a new crossing. National Inventory Number 804352D, See attached Exhibit A. (D) All accident reports for the crossing and/or a listing of all accidents for any rail fixed guideway tracks through the crossing, or a statement that no accident reports and/or listing of rail fixed guideway accidents exist for the crossing. For FRA reported accident reports for this crossing, see attached Exhibit B. (E) A statement of the date that the required crossing safety diagnostic occurred, or a copy of written correspondence from Commission staff that a crossing safety diagnostic was not required. 4 The required crossing safety diagnostic occurred on September 7, 2017. (F) A statement of: (i) The existing number and character of trains (e.g., through movements, switching movements) passing through the crossing each day if the National Inventory Form has not been updated within three years from the date of the filing of the application, or the existing number, character, and timetable speed of trains as shown on the National Inventory Form if the form has been updated within three years from the date of the filing of the application; Total Day Thru Trains: 5 Total Night Thru Trains: 5 Total Switching Trains: 0 (ii) The five-year projection of increases or decreases of the number and character of trains using the crossing; and No anticipated increases or decreases in the number or character of trains is known at this time. (iii) The maximum timetable speed of trains using the crossing. Maximum Timetable Speed: 60 MPH (G) A detailed statement as to the nature of and need for the construction, alteration, abolition, installation, or modification for which approval is sought. The history of the US 85 Corridor is lengthy, and involves Union Pacific Railroad Company, Weld County and CDOT. In 1923, UPRR entered into a 50 -year lease with Weld County for the Highway 85 right-of-way. In 1931, UPRR and Weld County entered into a new year-to-year lease of Highway 85 and terminated the prior 50 -year lease. In 1957, UPRR and CDOT entered into a 50 - year lease of the Highway 85 right-of-way allowing CDOT to have highway facilities within the right-of-way. That lease terminated December 31, 2006. Since the termination, and for the subsequent twelve years, both CDOT and UPRR have been negotiating the resolution of the matter which culminated in a Purchase and Sale Agreement. UPRR, Weld County and CDOT have worked together strategically, to enable the closure of crossings that would allow trains to park or pass within railroad sidings that presently have at - grade highway- rail crossings, thus improving rail operations, and removing random crossing occupation by trains within the county to provide better vehicular circulation and more reliable access routes for emergency services. CDOT entered into the Purchase and Sale Agreement with UPRR in order for CDOT to obtain full fee ownership for those portions of the highway located within railroad right-of-way, while still providing UPRR rail capacity as a result of the purchase to ensure the functional integrity of both the CDOT and UPRR transportation systems and to improve the safety of the corridor by reducing potential vehicle/train conflicts. To mitigate capacity impairment from the land sale, the Purchase and Sale Agreement includes the closure of several roads intersecting the railroad and US 85, most of which are under the jurisdiction of Weld County. CDOT does not have authority to close county roads and has therefore coordinated with Weld County to satisfy this portion of the agreement. To this end, Weld County and CDOT hosted public meetings regarding the closures in Fort Lupton and Eaton on January 22 and 23, 2018, respectively. The Purchase and Sale Agreement identified the closure of twelve county roads. Weld County has been working with CDOT and UPRR on the locations for these road closures that will work best for meeting the goals of all the agencies involved. The agencies' goals are as follows: • CDOT Goal: Obtain full fee ownership from UPRR for the US 85 ROW. • UPRR Goal: Mitigate capacity impairments and close the Purchase and Sale Agreement. • Weld County Goal: Ensure the long-term stability of the US 85 corridor through partnering with CDOT and UPRR that improves the safety of the highway/rail corridor, improves the operational efficiencies to enhance economic development opportunities, and reduces conflicts for communities, while also ensuring reliable emergency response time. Consequences of not closing this crossing include the following: 1) First responders would continue to be required to assess whether this crossing is available or occupied by a train when determining their route for an emergency call. 2) The terms of the Purchase and Sale Agreement between CDOT and UPRR, after 12 years of valuation, assessment and negotiation, would need to be revised, requiring substantial additional time. 3) If CDOT and UPRR could not reach a new agreement, CDOT would need to re- evaluate the option of relocating approximately 37 miles of portions of US 85 off of UPRR right-of- way, which would necessitate the purchase of private lands, public lands (through affected communities) and could not guarantee reconnection of county roads no longer in the vicinity of the new US 85 alignment. 4) The inclusion of alternative county roads into the Purchase and Sale Agreement requires, but may not receive, approval from the Weld County Board of County Commissioners. 5) Weld County residents would not realize the benefit of having adjacent crossings clear of train occupation more consistently with the closure of CR 44. CDOT has appropriated Federal Section 130 Funds for removal of the existing active warning signals and gates, and crossing surface, and removal of the roadway approaches in accordance with the diagnostic team recommendations. (H) A statement of the scope of the project, including without limitation: (i) The highway design, pathway design, crossing warning devices, and necessary traffic signal interconnection and preemption; The project includes removal of active warning signals and gates, and crossing surface, removal of existing roadway approaches, and installation of permanent barricade east and west of the crossing. Signing along the county road and along US 85 that will no longer be valid will be removed. (ii) The detailed itemized estimated cost of the proposed construction, alteration, abolition, or highway -rail or pathway crossing warning device installation or modification; The detailed itemized estimated cost of the proposed work items is included in the attached Exhibit C. (iii) How the applicant proposes to provide for the cost, explaining the proposed apportionment between or among the parties in interest if applicable; and The cost for crossing removal will be funded through appropriation of Federal Section 130 Funds. (iv) If the funds necessary for the project are currently available and encumbered. The funds necessary for the project are currently available and encumbered. (I) A statement of the estimated month and year for: (i) The start date for the construction, alteration, abolition, or crossing warning device installation or modification; The estimated start date of construction is: January 1, 2023. Note this crossing will be closed, and access replaced with the proposed Peckham Interchange overpass crossing over UPRR tracks. Application to the Commission for the Peckham Interchange is occurring via separate filing. (ii) The completion date for the construction, alteration, abolition, or crossing warning device installation or modification; and The estimated completion date of construction is: July 1, 2023 (iii) The date for commencement of operations through the crossing for new crossings. N/A (J) A vicinity map that includes the proposed project limits (i.e., a map that includes the general area circumscribing the project). A Vicinity Map is provided as attached Exhibit D. (K) The names and mailing addresses of all persons, including adjacent property owners, public utilities, and local government agencies that may be interested in or affected by the application. Property Owners: No. Owner Name Mail Address City State Zip 1 Union Pacific Railroad 1400 Douglas Street Omaha NE 68179 2 Jeremy J Long 16166 County Road 44 LaSalle CO 80645 3 Dinner Peckham Junction Farm, LLC 1814 14th Avenue Greeley CO 80631 4 Weld County I P.O. Box 758 Greeley CO 80632 Utility Owners: UTILITY ADDRESS PHONE Fiber Colorado Department of Transportation ITS 4201 East Arkansas Avenue, Denver, CO 80222 800-778-9140 CenturyLink Fiber & Telephone 280 West 62nd Avenue, Denver, CO 80216 800-778-9140 8 Sprint 3000 East 1st Avenue, Suite 295, Denver, CO 80206 800-521-0579 Zayo Bandwidth - 360 Networks 12101 Airport Way, Broomfield, CO 80021 443-403-2023 Level 3 Communications 1025 Eldorado Blvd., Broomfield, CO 80021 877-366-8344 Pipes Crestone Peak Resources 1801 California Street, Denver, CO 80202 720-410-8500 DCP Midstream, LLC 3026 4th Avenue, Greeley, CO 80631 970-356-9700 Central Weld County Water District 2235 2nd Avenue, Greeley, CO 80631 970-352-1284 Kerr-McGee Anadarko 501 N. Division Road, Platteville, CO 80651 720-466-9585 Eckhardt Farms Inc 21454 County Road 33, LaSalle, CO 80645 970-539-0445 Electric/Gas Atmos Energy 485 Stevens Circle, Platteville, CO 80651 970-785-6416 Noble Energy, Inc 2115 117th Avenue, Greeley, CO 80634 970-304-5000 Xcel Energy 1500 6th Avenue, Greeley, CO 80631 970-800-3665 (L) If the crossing is at -grade: a statement fully justifying why a separation of grades is not practicable under the circumstances. N/A (M) A statement if the application is seeking preliminary approval of conceptual level design plans, or if the application is seeking final approval of final design plans. APPLICANT is seeking final approval of final design with this application. (N) A statement if the application includes a request to install a temporary safety measure. N/A B. Rule 7204(a)(II) - Applications for all highway -rail crossings shall include: (A) The existing ADT volume and character of vehicles (including, but not limited to estimated percentage of heavy vehicles and a statement about whether school buses use the crossing) passing through the highway -rail crossing each day if the traffic volume on the National Inventory Form has not been updated within three years from the date of the filing of the application, or the existing ADT volume 9 and character of vehicles passing through the highway -rail crossing each day as shown on the National Inventory Form if the traffic volume on the form has been updated within three years from the date of the filing of the application. If the ADT volume has not been updated within three years from the date of the filing of the application, the road authority will be responsible for paying for the cost of the updated ADT count; Existing ADT: 2000 (2018) Character of Vehicles: % Trucks: 5% School buses do not this crossing. (B) The five --year and twenty-year ADT volume projections of vehicles using the highway -rail crossing; and 5 -Year Projected ADT: 2300 (2023) 20 -Year Projected ADT: 5000 (2038) (C) The posted or unposted speed limit for the vehicles traveling through the highway -rail crossing. Posted Speed: 55 MPH C. Rule 7204(a)(III) - Applications for all pathway crossing shall include: (A) The existing or estimated number of pedestrians and bicycles passing through the pathway crossing each day and a statement if the number is based on an actual count or an estimate; and N/A (B) The five-year and twenty-year projections of the number of pedestrians and bicycles using the pathway crossing. N/A D. Rule 7204(a)(IV) - Applications that include a request for temporary safety measures filed pursuant to paragraph 7203(f) shall include: (A) A statement of the temporary safety measure being sought; N/A (B) Schematic plans of the temporary measure to be implemented; N/A 10 (C) The diagnostic notes including a list of all in attendance; N/A (D) A statement that the diagnostic team is in consensus with the temporary safety measure being sought; N/A E. Rule 7204(a)(V) - Applications for preliminary or final approval of new at -grade crossing shall include: (A) Detailed plans/drawings of a suitable scale, showing the at -grade crossing, including signing and striping, tracks, buildings, structures, property lines, and public highways within the right-of-way limits of the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency; N/A (B) A profile drawing showing grade lines and proposed grade lines of approaches on the public highway or pathway, and the tracks being crossed that may be affected by the proposed or existing crossing; N/A (C) Proposed roadway classification (e.g., local road, collector, arterial, freeway) and a cross-section drawing of the road authority's standards for that roadway classification or cross-section drawing of the pathway; NIA (D) The following documentation for all existing crossings within one -mile of the proposed location of the new crossing in urban locations or within towns, or the two crossings nearest the proposed crossing in rural locations: (i) The National Inventory Number and National Inventory Form; N/A (ii) All accident reports or a statement that no accident reports are available; and N/A (iii) The existing ADT volume and character of vehicles (including, but not limited to, estimated percentage of heavy vehicles and a statement about whether school buses use the crossing) passing through the highway -rail 11 crossing each day if the traffic volume on the National Inventory Form has not been updated within three years from the date of the filing of the application, or the existing ADT volume and character of vehicles passing through the highway -rail crossing each day as shown on the National Inventory Form if the traffic volume on the form has been updated within three years from the date of the filing of the application. If the ADT volume has not been updated within three years from the date of the filing of the application, the road authority will be responsible for paying for the cost of the updated ADT count. N/A F. Rule 7204(a)(VI) - Applications for preliminary or final approval to widen, narrow, or relocate an existing crossing shall include: (A) Detailed plans/drawings of a suitable scale, showing the grade crossing, including signing and striping, tracks, buildings, structures, property lines, and public highways within the right-of-way limits of the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency; N/A (B) A profile drawing showing grade lines and proposed grade lines of approaches on the public highway or pathway and the tracks being crossed that may be affected by the proposed or existing crossing; N/A (C) Existing roadway classification (e.g., local, collector, arterial, freeway) and a cross-section drawing of the roadway authority's standards for that roadway classification or cross-section drawing of the pathway; and N/A (D) Proposed roadway classification (e.g., local road, collector, arterial, freeway) and a cross-section drawing of the roadway authority's standards for that roadway classification or cross-section drawing of the pathway. N/A G. Rule 7204(a)(VII) - Applications for preliminary or final approval to close a crossing by removal of the tracks shall include: (A) Detailed plans/drawings of a suitable scale, showing the details of the crossing closure plan; N/A 12 (B) A copy of the notice of proposed closure of the crossing as required under paragraph 7208(c); and N/A (C) Traffic volumes under (II) are not required. N/A H. Rule 7204(a)(VIII) - Applications to close a crossing by removal of the roadway or pathway shall include: (A) The following documentation for all existing crossings within one -mile of the proposed location of the crossing to be closed in urban locations or within towns, or the two crossings nearest the proposed crossing to be closed in rural locations: (i) The National Inventory Number and National Inventory Form; Nearest two crossings: DOT 804351W — CR 33, National Inventory Form provided as Exhibit E. DOT 804354S — CR 46, National Inventory Form provided as Exhibit F. (ii) All accident reports or a statement that no accident reports are available; and Nearest two crossings: DOT 804351W — CR 33, FRA Accident Report provided as Exhibit G. DOT 804354S — CR 46, FRA Accident Report provided as Exhibit H. (iii) The existing ADT volume and character of vehicles (including, but not limited to, estimated percentage of heavy vehicles and a statement about whether school buses using the crossing) passing through the highway -rail crossing each day if the traffic volume on the National Inventory Form has not been updated within three years from the date of the filing of the application, or the existing ADT volume and character of vehicles passing through the highway -rail crossing each day as shown on the National Inventory Form if the traffic volume on the form has been updated within three years from the date ofthe filing of the application. If the ADT volume has not been updated within three years from the date of the filing for the 13 application, the road authority will be responsible for paying for the cost of the updated ADT count. DOT 804351W — CR 33 Existing ADT: 300 (2018) Character of Vehicles: % Trucks: 5% School buses do not use this crossing. DOT 804354S — CR 46 Existing ADT: 450 (2018) Character of Vehicles: % Trucks: 5% School buses do not use this crossing (B) Detailed plans/drawings of a suitable scale showing the details of the crossing closure plan; and Detailed Plans for the crossing closure are provided in Exhibit I. (C) The notice of proposed closure of the crossing as required under paragraph 7208(c). A copy of the Notice of Proposed Closure of the crossing is provided as Exhibit J. I. Rule 7204(a)(IX) - Applications for preliminary or final approval to install or change passive warning devices at crossings shall include: (A) A description of the type of warning device the applicant proposes to install; and N/A (B) Detailed railroad cost estimate of the crossing warning devices. N/A J. Rule 7204(a)(X) - Applications for preliminary or final approval for installation of new active warning devices, replacement of existing active warning devices, or replacement of existing train detection circuitry at crossings shall include: (A) Detailed plans/drawings of a suitable scale, showing the crossing, including signing and striping, tracks, buildings, structures, property lines, and public highways within the right-of-way limits of the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency; 14 N/A (B) A description of the type of warning devices the applicant proposes to install (reference may be made to recommended standards on highway -rail grade crossing warning devices as published in current editions of the MUTCD and/or the American Railway Engineering and Maintenance -of -Way Association's Signal Manual of Recommended Practice); N/A (C) The detailed railroad cost estimate of the crossing warning devices; and N/A (D) The schematic diagram of the crossing warning devices (commonly referred to as the "front sheet") and shall specifically identify the equipment response time, advanced preemption time, minimum warning time, clearance time, buffer time, and total warning time). N/A K. Rule 7204(a)(XI) - Applications for preliminary or final approval involving installation of four quadrant gate active warning devices shall include: (A) A description of the type of four quadrant exit gate operating mode proposed (e.g., timed, dynamic exit gate vehicle detection, or timed/dynamic combination); MA (B) For timed exit gate operating mode, the proposed exit gate clearance time, a description of the methodology used to determine the exit gate clearance time aid the calculations performed to determine the exit gate clearance time; N/A (C) For dynamic exit gate operating mode, a description of the type of vehicle detection proposed, a plan/drawing showing the proposed vehicle detector placement(s) and description and timings of how the vehicle detection will operate; and N/A (D) A letter of concurrence from Commission staff regarding the proposed four - quadrant operations and timings, or a statement that Commission staff does not concur with the proposed four -quadrant operations and timings. 15 N/A L. Rule 7204(a)(XII) - Applications for preliminary or final approval involving interconnection to traffic signals or queue cutter signals and preemption by active warning signals shall include: (A) A statement of the proposed preemption operations (e.g., simultaneous, advanced); N/A (B) The traffic signal timings, including: (i) The traffic signal cycle length; N/A (ii) Minimum green time for each signal phase and pedestrian phase; N/A (iii) Green times for each signal phase; N/A (iv) Yellow change times for each signal phase; N/A (v) Red clearance times for each signal phase; N/A (vi) Walk times for each pedestrian phase; N/A (vii) Flashing don't walk times for each pedestrian phase; N/A (viii) The traffic signal phasing diagram including the preemption sequence; and N/A (ix) A statement of whether and what type of gate down circuitry will be used. 16 N/A (C) A list of and calculations for the following distances and timings: C) Minimum track clearance distance; N/A (i) Design vehicle designation and length; N/A (ii) Clear storage distance; N/A (iv) Preemption delay time; N/A (v) Controller response time to preemption call; N/A (vi) Worst case conflicting vehicle time and worst case conflicting pedestrian time; N/A (vi) Maximum highway traffic signal preemption time; N/A (vii) Right-of-way transfer time; N/A (ix) Queue clearance time; N/A (x) Clearance time; N/A (xi) Separation time; 17 N/A (xi i) Advance preemption time; N/A (xiii) Minimum warning time. N/A (D) A letter of concurrence from Commission staff regarding the proposed preemption operations and timings, or a statement that Commission staff does not concur with the proposed preemption operations and timings. N/A M. Rule 7204(a)(XIII) - Applications requesting cost allocation to the Highway -Rail Crossing Signalization Fund or projects for which the Colorado Department of Transportation has appropriated Federal Section 130 Fund shall contain: (A) Specific information regarding the requested apportionment of costs between the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency, the road authority, and the Highway -Rail Crossing Signalization Fund or Federal Section 130 Fund. The apportionment of costs is as follows: Union Pacific Railroad (Railroad): $0 Weld County (Road Authority): $0 Federal Section 130 Fund: $190,000.00 N. Rule 7204(a)(XIV) - Applications for preliminary or final approval to change an existing crossing from a public crossing to a private crossing shall include: (A) The following documentation for all existing crossings within one -mile of the proposed location of the new crossing in urban locations or within towns, or the two crossings nearest the proposed crossing in rural locations: (i) The National Inventory Number and National Inventory Form; N/A (ii) Copies of all accident reports or a statement that no accident reports are available for those crossings; and N/A 18 (iii) The existing ADT volume and character of vehicles passing through the highway -rail crossing each day if the traffic volume on the National Inventory Form has not been updated within three years from the date of the filing of the application, or the existing ADT volume and character of vehicles passing through the highway -rail crossing each day as shown on the National Inventory Form if the traffic volume on the form has been updated within three years from the date of the filing of the application. N/A (B) Documentation (ordinance, ruling, etc.) showing that the road authority agency is proposing to remove the road from its network of ownership, operation, and maintenance; and N/A (C) Documentation showing the person that will be owning, operating, and maintaining the private roadway. N/A O. Rule 7204(a)(XV) - Applications for preliminary or final approval to change an existing crossing from a private crossing to a public crossing shall include: (A) Proposed roadway classification (e.g., local road, collector, arterial, freeway) and a cross-section drawing of the road authority's standards for that roadway classification or cross-section of the pathway; N/A (B) A statement that the existing crossing meets the standards of the proposed roadway classification or a statement that the roadway will be changed to meet the current roadway classification standards; and N/A (C) Documentation (ordinance, ruling, etc.) showing that the road authority is accepting the road into its network for ownership, operation, and maintenance; N/A P. Rule 7204(a)(XVI) - Applications for preliminary or final approval to construct a grade separated crossing shall include: (A) Detailed plans/drawings of a suitable scale, showing the crossing, including signing and striping, tracks, buildings, structures, property lines, and public 19 highways within the right-of-way limits of the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency; N/A (B) A profile drawing showing grade lines and proposed grade lines of approaches on the public roadway, highways, streets, or pathways and the tracks being crossed that may be affected by the proposed or existing crossing; N/A (C) Bridge plan/drawings that show, at a minimum: (i) The total length of the bridge structure; N/A (ii) The length of each individual span for multiple span bridge structures; N/A (iii) The location of all existing and any possible proposed future tracks in relation to the bridge structure; N/A (iv) The minimum vertical clearance from the top of rail or pavement to the bottom of structure; N/A (v) The minimum horizontal clearance from centerline of track to face of pier or abutment if track is under the bridge structure; and N/A (vi) The cross-section of the bridge showing information regarding the roadway, pathway, or railroad configuration including, but not limited to, out -to -out distance, fencing, lane widths, walkway widths, and median widths. N/A 20 Q. Rule 7294(a)(XVII) - Applications for any preliminary approval of plans/drawings shall include: (A) The date by which all final plans/drawings for which preliminary or conceptual level plans/drawings were provided with the application will be filed for approval; and N/A (B) A waiver of the applicable statutory period I §40-6-109.5, C.R.S. regarding the tine limit for decisions. NtA R. Rule 7204(a)(XVIII) - Applications for a utility crossing shall include: (A) The contact person name, mailing address and e-mail address to whom the Commission notice is to be sent: (i) For each railroad, railroad corporation, rail fixed guideway, or transit agency that owns the tracks affected by an application filed by a utility; and N/A (ii) For each utility affected by the application filed by a railroad, railroad corporation, rail fixed guideway, transit agency, or other person, firm, or corporation that will own the tracks affected by the application. N/A (B) The railroad and/or rail fixed guideway line name and milepost number where the crossing that is subject of the application is located; N/A (C) A detailed statement as to the nature of and need for the construction, alternation, abolition, installation, or modification for which approval is sought; N/A (D) A statement of the scope of the project, including without limitation: (i) The utility construction location; N/A 21 (ii) The detailed itemized estimated cost of the proposed utility crossing construction, alteration, abolition, or modification; N/A (iii) How the applicant proposes to provide for the cost, explaining the proposed apportionment between or among the parties in interest if applicable; and N/A (iv) If the funds necessary for the project are currently available and encumbered. N/A (E) A statement of the estimated month and year for: (i) The start date for the utility crossing construction, alteration, abolition, or modification; and N/A (ii) The completion date for the utility crossing construction, alteration, abolition, or modification. N/A (F) A vicinity map that includes the proposed project limits (i.e., a map that includes the general area circumscribing the project); N/A (G) The names and mailing addresses of all persons, including adjacent property owners, public utilities, and local government agencies that may be interested in or affected by the application: N/A (H) Detailed plans/drawings of a suitable scale, showing the utility crossing, tracks, buildings, structures, and property lines within the right-of-way limits of the railroad, railroad corporation, rail fixed guideway, rail fixed guideway system, or transit agency; and N/A 22 (I) A profile drawing showing grade lines and proposed grade lines of the utility in relation to the tracks being crossed. NIA III. Information Required la Rule 7205 (a) Additional Application Contents for Cost Allocation Requests in Grade Separation Applications. (b) In the case of applications concerning highway -rail grade separations for which contribution from one or more railroad corporations is requested, the applicant shall, in addition to the information required by paragraph 7204(a), include the following additional information in the application in the following order and specifically identified either in the application or appropriately identified attachments: (I) A complete description of the scope of the proposed separation project; N/A (II) A preliminary set of construction plans, including engineering costs; N/A (III) A Preliminary engineer's cost estimate, including engineering costs; N/A (IV) The estimated costs of right-of-way, parcel by parcel, including railroad right-of-way; N/A (V) A proposed construction timetable; N/A (VI) A list of affected railroad corporations; N/A 23 (VII) A Preliminary design of the theoretical structure for a reasonably adequate facility; and N/A (VIII) A cost estimate of the theoretical structure, including the costs described in subparagraphs (III) and (IV) of this paragraph and including a 20 percent contingency. N/A WHEREFORE, APPLICANT requests that the Public Utilities Commission enter an Order authorizing the removal of existing active warning signals and gates, and crossing surface, and removal of roadway approaches to close the existing County Road 44 crossing of UPRR tracks for which CDOT has appropriated Federal Section 130 Funds in Weld County, State of Colorado. DATED at Denver, Colorado this 10th day of May , 2021. DEPARTMENT OF TRANSPORTATION STATE OF COLORADO Stephen Harelson Digitally signed by Stephen Harelson By Date: 2021.05.10 21:25:48 -06'00' Stephen Harelson Chief Engineer 25 ATTEST: V.0444.0 Jdo:ok, Weld County Clerk to the board BY: Deputy C : k to ' e Boar ; j/ l . / ,�� teve Moreno, Chair APPROVED AS TO SUBSTANCE County Attorney 1150 O Street P.O. Box 758 Greeley, CO 80632 970-336-7235 26 BOARD OF COUNTY COMMISSIONERS WELD COUNTY, COLORADO APR 2 8 2021 tea/ -/1,18 By GreJE. Carson #25460 Attorney for the Colorado Department of Transportation Litigation & Employment Section -Transportation Unit 1300 Broadway, 10`h Floor Denver, CO 80203 Ph. 720-508-6000 Email: Grega.Carson@coag.gov ATTESTATION The undersigned is authorized to act on behalf of the applicant and attests, as required and pursuant to Commission Rule 4 Code of Colorado Regulations 723-7- 7002(b)(IX), that [s]he has read the foregoing Application and states, under penalty of perjury, that all facts regarding this Application are true and correct to his/her best personal knowledge, information and belief. lob Martindale CDOT Railroad Program Manager 4201 E. Arkansas Ave Denver, CO 80222 STATE OF COLORADO )ss. MESA COUNTY Subscribed and sworn to before me this 17th day of /1//cry , 202.1. YVONNE M CRAWFORD NOTARY PUBLIC STATE OF COLORADO NOTARY ID 20094028606 My Commission expires September 2, 2021 eitt-et-t_ Nuttily • UK. --My Commission expires on 22 U. S. DOT CROSSING INVENTORY FORM EXHIBIT A DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION OMB No. 2130-0017 Instructions for the initial reporting of the following types of new or previously unreported crossings: For public highway -rail grade crossings, complete the entire inventory Form. For private highway -rail grade crossings, complete the Header, Parts I and II, and the Submission Information section. For public pathway grade crossings (including pedestrian station grade crossings), complete the Header, Parts I and II, and the Submission Information section. For Private pathway grade crossings, complete the Header, Parts I and II, and the Submission Information section. For grade -separated highway -rail or pathway crossings (including pedestrian station crossings), complete the Header, Part I, and the Submission Information section. For changes to existing data, complete the Header, Part I Items 1-3, and the Submission Information section, in addition to the updated data fields. Note: For private crossings only, Part I Item 20 and Part III Item 2.K. are required unless otherwise noted. An asterisk * denotes an optional field. A. Revision Date (MM/DD/YYYY) 10 / 20 / 2020 B. Reporting Agency N Railroad O Transit ❑ State ❑ Other C. Reason for Update (Select only one) N Change in ❑ New ❑ Closed ❑ No Train ❑ Quiet Data Crossing Traffic Zone Update ❑ Re -Open ❑ Date ❑ Change in Primary ❑ Admin. Change Only Operating RR Correction D. DOT Crossing Inventory Number 804352D '.r W ,₹','5' Y`k:.. ;gym d i �r f ".. ,.w ✓rrv".' �:',-N lv .�., �r .r+`a 6r „p $i ��.yy,.;;:}�{� "(9,�". C.a[ tv'.y r.��+v }• L c &n `R BSY+ew C48: 5CfTC1G..lot r(f O E®9�6 V . .""6 > �%?;.e &Y„ a5;. ,.� n� e,"z'.w"` •.: . .NMN's s. 1. Primary Operating Railroad Union Pacific Railroad Company [UP) 2. State COLORADO 3. County WELD 4. City / Municipality ❑ In N Near GILCREST 5. Street/Road Name & Block Number CR 44 6. Highway Type & No. TBD (Street/Road Name) I* (Block Number) 7. Do Other Railroads Operate a Separate Track at Crossing? ❑ Yes N No If Yes, Specify RR 8. Do Other Railroads Operate Over Your Track at Crossing? ❑ Yes N No If Yes, Specify RR 9. Railroad Division or Region O None GREAT PLAINS 10. Railroad Subdivision or District ❑ None Greeley SUB 11. Branch or Line Name N None 12. RR Milepost i 0042.380 (prefix) I (nnnn.nnn) I (suffix) 13. Line Segment * 14. Nearest RR Timetable Station * 15. Parent RR (if applicable) N N/A 16. Crossing Owner (if applicable) ❑ N/A UP 17. Crossing Type Ni Public ❑ Private 18. Crossing Purpose N Highway ❑ Pathway, Ped. ❑ Station, Ped. 19. Crossing Position N At Grade ❑ RR Under ❑ RR Over 20. Public Access (if Private Crossing) ❑ Yes ❑ No 21. Type of Train ® Freight ❑ Transit ❑ Intercity Passenger ❑ Shared Use Transit ❑ Commuter ❑ Tourist/Other 22. Average Passenger Train Count Per Day ❑ Less Than One Per Day ❑ Number Per Day 0 23. Type of Land Use N Open Space ❑ Farm ❑ Residential ❑ Commercial O Industrial ❑ Institutional O Recreational ❑ RR Yard 24. Is there an Adjacent Crossing with a Separate Number? ❑ Yes N No If Yes, Provide Crossing Number 25. Quiet Zone (FRA provided) IA No O 24 Hr ❑'Partial' ` ❑ Chicago Excused Date Established 26. HSR Corridor ID IA N/A 27. Latitude in decimal degrees (WGS84 std: nn.nnnnnnn) 40.3046354 28. Longitude in decimal degrees (WGS84 std:-nnn.nnnnnnn) -104.7502752 29. Lat/Long Source N Actual ❑ Estimated 30.A. Railroad Use * 31.A. State Use * 30.B. Railroad Use * 31.B. State Use * 30.C. Railroad Use * 31.C. State Use * 30.D. Railroad Use * 31.D. State Use * 32.A. Narrative (Railroad Use) * 32.B. Narrative (State Use) * 33. Emergency Notification Telephone No. (posted) 800-848-8715 34. Railroad Contact (Telephone No.) 402-544-3721 35. State Contact (Telephone No.) 303-757-9425 'x.(=.'•4lsk.. of .{tLd+u,; ` I/" Icy( y : ye f ,"' S rv-3' F%r� 6f' P $ ��-rr ,.:a"F,. �i. ts� ,h .b.., A,.s..,. s�^ri ,e , .. +-. .;, �. x _, ..�•. sa,3. `o -s. . .,v,� �;�N�'.'�...S;v fdy E, +�...�e5� ,.�"'"�.. se+S,N ., #r,,,.,, wt ..�.'�W �.� , 1. Estimated Number of Daily Train Movements 1.A. Total Day Thru Trains (6 AM to 6 PM) 5 1.B. Total Night Thru Trains (6 PM to 6AM) 4 1.C. Total Switching Trains 0 1.D. Total Transit Trains 0 1.E. Check if Less Than One Movement Per Day O How many trains per week? 2. Year of Train Count Data (YYYY) 2020 3. Speed of Train at Crossing 3.A. Maximum Timetable Speed (mph) 60 3.B. Typical Speed Range Over Crossing (mph) From 30 to 60 4. Type and Count of Tracks Main 1 Siding() Yard 0 Transit 0 Industry 0 5. Train Detection (Main Track only) I Constant Warning Time O Motion Detection ❑AFO ❑ PTC ❑ DC ❑ Other O None 6. Is Track Signaled? N Yes ❑ No 7.A. Event Recorder O Yes N No 7.B. Remote Health Monitoring ❑ Yes IN No FORM FRA F 6180.71 (Rev. 08/03/2016) OMB approval expires 11/30/2022 Page 1 OF 2 EXHIBIT A U. S. DOT CROSSING INVENTORY FORM A. Revision Date (MM/DD/YYYY) 10/20/2020 PAGE 2 D. Crossing Inventory Number (7 char.) 804352D Part III: Highway or Pathway Traffic Control Device Information 1. Are there Signs or Signals? ® Yes ❑ No 2. Types of Passive Traffic Control Devices associated with the Crossing 2.A. Crossbuck Assemblies (count) 2.B. STOP Signs (R1-1) (count) 2.C. YIELD Signs (R1-2) (count) 2.D. Advance Warning Signs (Check all that apply; include count) ❑ None E wia-1 2 O W10-3 ❑ W10-11 0 0 0 ❑ W10-2 ❑ W10-4 ❑ W10-12 2.E. Low Ground Clearance Sign (W10-5) ❑ Yes (count() ) 2.F. Pavement Markings N Stop Lines ❑Dynamic Envelope NI RR Xing Symbols ❑ None 2.G. Channelization Devices/Medians ❑ All Approaches ❑ Median ❑ One Approach C9 None 2.H. EXEMPT Sign (R15-3) ❑ Yes ® No 2.1. ENS Sign (I-13) Displayed IA Yes ❑ No ® No 2.J. Other MUTCD Signs ❑ Yes N No Specify Type Count 0 2.K. Private Crossing Signs (if private) ❑ Yes ❑ No 2.L. LED Enhanced Signs (List types) Specify Type Count 0 Specify Type Count 3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply) 3.A. Gate Arms (count) Roadway 2 3.8. Gate Configuration ® 2 Quad ❑ Full (Barrier) ❑ 3 Quad Resistance ❑ 4 Quad ❑ Median Gates 3.C. Cantilevered (or Bridged) Flashing Light Structures (count) Over Traffic Lane 0 ❑ Incandescent 3.D. Mast Mounted Flashing Lights (count of masts) 2 3.E. Total Count of Flashing Light Pairs 5 ❑ Incandescent lI LED Back Lights Included li Side Lights Included Not Over Traffic Lane 0 ❑ LED Pedestrian 0 3.F. Installation Date of Current Active Warning Devices: (MM/YYYY) NI Not Required 3.G. Wayside Horn Ye Installed on (MM/YYYY) / 3.H. Highway Traffic Signals Controlling Crossing ❑ Yes NI No 3.1. Bells (count) 2 0 No 3.J. Non -Train Active Warning ❑ Flagging/Flagman ❑Manually Operated Signals ❑ Watchman ❑ Floodlighting ❑ None 3.K Other Flashing Lights or Warning Devices Count 0 Specify type 4.A. Does nearby Hwy Intersection have Traffic Signals? ❑ Yes ❑ No 4.B. Hwy Traffic Signal Interconnection, ❑ Not Interconnected ❑ For Traffic Signals ❑ For Warning Signs 4.C. Hwy Traffic Signal Preemption ❑ Simultaneous ❑ Advance 5. Highway Traffic Pre -Signals ❑ Yes C7 No Storage Distance * 6. Highway Monitoring Devices (Check all that apply) ❑ Yes - Photo/Video Recording ❑ Yes— Vehicle Presence Detection ❑ None Stop Line Distance * Part IV: Physical Characteristics 1. Traffic Lanes Crossing Railroad ❑ One-way Traffic W Two-way Traffic Number of Lanes 2 ❑ Divided Traffic 2. Is Roadway/Pathway Paved? L9 Yes ❑ No 3. Does Track Run Down a Street? LI Yes ® No 4. Is Crossing Illuminated? (Street lights within approx. 50 feet from nearest rail) ❑ Yes ® No 5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) / Width * Length * 32 ❑ 1 Timber ❑ 2 Asphalt ❑ 3 Asphalt and Timber NI 4 Concrete ❑ 5 Concrete and Rubber ❑ 6 Rubber ❑ 7 Metal ❑ 8 Unconsolidated ❑ 9 Composite ❑ 10 Other (specify) 6. Intersecting Roadway within 500 feet? NI Yes ❑ No If Yes, Approximate Distance (feet) 150 7. Smallest Crossing Angle ❑ 0° — 29° NI 30' - 59° ❑ 60° - 90° 8. Is Commercial Power Available? * NI Yes ❑ No Part V: Public Highway Information 1. Highway System ❑ (01) Interstate Highway System ❑ (02) Other Nat Hwy System (NHS) ❑ (03) Federal AID, Not NHS ® (08) Non -Federal Aid 2. Functional Classification of Road at Crossing ® (0) Rural ❑ (1) Urban ❑ (1) Interstate ® (5) Major Collector ❑ (2) Other Freeways and Expressways ❑ (3) Other Principal Arterial ❑ (6) Minor Collector ❑ (4) Minor Arterial ❑ (7) Local 3. Is Crossing on State Highway System? 4. Highway Speed Limit MPH ❑ Yes N No ❑ Posted ❑ Statutory 5. Linear Referencing System (LRS Route ID) * 6. LRS Milepost * 7. Annual Average Daily Traffic (AADT) Year 1987 AADT 350 8. Estimated Percent Trucks 05 % 9. Regularly Used by School Buses? ❑ Yes lI No Average Number per Day 0 10. Emergency Services Route ❑ Yes ❑ No Submission Information - This information is used for administrative purposes and is not available on the public website. Submitted by Organization Phone Date Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS -25 Washington, DC 20590. FORM FRA F 6180.71 (Rev. 08/03/2016) OMB approval expires 11/30/2022 Page 2 OF 2 EXHIBIT B OFPARTMFNT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRAT HIGHWAY-RAII GRAOF CROSSING ACCIDENT/INCIDENT REPORT OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company [UP] 1a. UP lb. 0382WY206 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company (UPI 3a. Up 3b. 0382WY206 4. U.S. DOT-AAR Grade Crossing ID No. 804352D 5. Date of Accident/Incident 03/25/82 6. Time of Accident/Incident 06:00 AM 7. Nearest Railroad Station PECKMAN 8. Division 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) 12. Highway Name or No. COUNTY RD 44 V Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code C 17. Equipment 4. Car(s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code 1 14. Vehicle Speed (est mph at impact) 40 15. Direction (geographical) Code 1. Nrth 2. Soutl 3. East 4. West I 3 18. Position of Car Unit in Train 1 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped I 3 19. Circumstance 1. Rail equipment struck highway user 2. Rail equipment struck by highway user Code I 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3_Both 4. Neither Code 4 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 20 °F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 1 23. Weather (single entry) 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow Code I 1 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car a. Light loco(s Code 3. Commuter train 6. Cut of cars 9 Main./inspect. car I 1 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or SINGLE MAIN Name 27. FRA Track Class 4 28. Number of Locomotive Units 2 29. Number of Cars 74 30. Consist Speed (Recorded if available) R. Recorded E. Estimated 50 mph Code E 31. Time Table Direction 1. North 2. South 3. East 4. West Code 3 32. Type of 1. Gates 4. Wg wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals B. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning 34. Whistle Ban 1. Yes 2. No 3. Unknown Code Code(s) I 07 I I I I I 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Code Lights or Special Lights 1. Yes 2. No 3. Unknown 2 38. Driver's Age 39. Driver's Gender 1. Male I 2. Female I Code 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) I 3. Did not stop Code 3 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was Code 1. Killed 2. Injured 3. Uninjured I 3 45. Was Driver in the Vehicle? Code 1. Yes 2. No I 1 46. Highway -Rail Crossing Users i 0 47. Highway Vehicle Property Damage (est dollar damage) I $10,000 48. Total Number of Highway -Rail Crossing Users (include driver) 1 49. Railroad Employees • 0 50. Total Number of People on Train (include passengers and crew) 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 2 52. Passengers on Train U 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A EXHIBIT B DFPARTMFNT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company [UPI la. UP lb. 0581WY210 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company [UPI 3a. Up 3b. 0581WY210 4. U.S. DOT-AAR Grade Crossing ID No. 804352D 5. Date of Accident/Incident 05/30/81 6. Time of Accident/Incident 08:57 PM 7. Nearest Railroad Station PECKHAM 8. Division 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) 12. Highway Name or No. COUNTY RD #44 VPublic Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code A 17. Equipment 4. Car(s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code 1 14. Vehicle Speed (est mph at impact) 0 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 4 18. Position of Car Unit in Train 1 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped I 1 19. Circumstance 1. Rail equipment struck highway user 2. Rail equipment struck by highway user Code I 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 4 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 65 'F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 4 23. Weather (single entry) 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow Code I 2 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I 1 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or SINGLE MAIN Name 27. FRA Track Class 4 28. Number of Locomotive Units 1 29. Number of Cars 9 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated 40 mph I E 31. Time Table Direction 1. North 2. South 3. East 4. West Code I 3 32. Type of 1. Gates 4. Wig wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning 34. Whistle Ban 1. Yes 2. No 3. Unknown Code Code(s) I 07 I 08 I I I I 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Lights or Special Lights 1. Yes 2. No 3. Unknown Code 2 38. Driver's Age 39. Driver's Gender 1. Male 2. Female Code 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) 3. Did not stop Code 4 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was Code 1 Killed 2. Injured 3. Uninjured I 3 45. Was Driver in the Vehicle? Code 1. Yes 2. No I 1 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage (est dollar damage) I $1,000 48. Total Number of Highway -Rail Crossing Users (include driver) 3 49. Railroad Employees 0 0 50. Total Number of People on Train (include passengers and crew) 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 2 52. Passengers on Train 0 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date HIGHWAY-RAII GRAOF CROSSING ACCIDENT/INCIDENT REPORT OMB Approval No. 2130-0500 FORM FRA F 6180.57 * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A EXHIBIT B f]FPARTMFNT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIC,HWAY-RAII C4RADF CROSSING ACCIDENT/INCIDENT REPORT OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company [UPI la. UP lb. 0580WY032 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company (UP) 3a. UP 3b. 0580WY032 4. U.S. DOT-AAR Grade Crossing C No. 804352D 5. Date of Accident/Incident 05/15/80 6. Time of Accident/Incident 01.30 PM 7. Nearest Railroad Station PECKHAM 8. Division 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) 12. Highway Name or No. COUNTY RD 44 V Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code B 17. Equipment 4. Car(s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code 1 14. Vehicle Speed (est mph at impact) 1 15. Direction (geographical) Code 1. Nora 2. South 3. East 4. West I 3 18. Position of Car Unit in Train 1 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped I 3 19. Circumstance 1. Rail equipment struck highway user 2. Rail equipment struck by highway user Code I 1 20a. Was the highway user and/or raifequipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3, Both 4. Neither Code 4 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 50 'F 22. Vtsiility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 2 23. Weather (single entry) 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow Code I 3 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. York train 7. Yard/Switching (single entry) 2. Passenger train 5. Slagle car B. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I 1 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or SINGLE MAIN Name 27. FRA Track Class 4 28. Number of Locomotive Units 1 29. Number of Cars 8 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated in mph I E 31. Time Table Direction 1. North 2. South 3. East 4. West Code 13 32. Type of 1. Gates 4. WI wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Ewer. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Auiible 9. Watchman 12. None 33. Signaled Crossing Warning 34. Whistle Ban 1. Yes 2. No 3. Unknown Code Code(s) I 07 I 08 I 11 I I I 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Code Lights or Special Lights 1. Yes 2. No 3. Unknown 2 38. Driver's Age 39. Driver's Gender 1. Male I 2. Female I Code 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) I 3. Did not stop Code 3 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was Code 1. Killed 2. Injured 3. Uninjured I 1 45. Was Driver in the Vehicle? Code 1. Yes 2. No I I 46. Highway -Rail Crossing Users i 0 47. Highway Vehicle Property Damage (est dollar damage) I $2,500 48. Total Number of Highway -Rail Crossing Users (include driver) 1 49. Railroad Employees 9 0 50. Total Number of People on Train (include passengers and crew) 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 2 52. Passengers on Train 8 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A EXHIBIT B OFPARTMFNT ()F TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIGHWAY -RA II (1RAf)F CROSSIN(; ACCIDENT/INCIDENT REPORT OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company IUPI la. Up 1b. 1278WY015 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company [UP( 3a. Up 3b. 1278WY015 4. U.S. DOT-AAR Grade Crossing ID No. 804352D 5. Date of Accident/Incident 12/19/78 6. Time of Accident/Incident 12:25 AM 7. Nearest Railroad Station PECKHAM 8. Division 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) 12. Highway Name or No. COUNTY ROAD 44 �/ Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code B 17. Equipment 4. Car(s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code 1 14. Vehicle Speed (est mph at impact) 40 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 4 18. Position of Car Unit in Train 1 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped I 3 19. Circumstance 1. Rail equipment struck highway user 2. Rail equipment struck by highway user Code I 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 4 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 35 'F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 4 23. Weather (single entry) 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow Code I 1 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I 1 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or SINGLE MAIN Name 27. FRA Track Class 4 28. Number of Locomotive Units 3 29. Number of Cars 82 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated 40 mph I E 31. Time Table Direction 1. North 2. South 3. East 4. West Code I 3 32. Type of 1. Gates 4. Wig wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning 34. Whistle Ban 1. Yes 2. No 3. Unknown Code Code(s) I 07 I 08 I I I I 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach Code 1 36. Crossing Waming Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Code Lights or Special Lights 1. Yes 2. No 3. Unknown 2 38. Driver's Age 39. Driver's Gender 1. Male I 2. Female I Code 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) I 3. Did not stop Code 2 42. Driver Passed Standing Highway Vehide 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was Code 1. Killed 2. Injured 3. Uninjured I 2 45. Was Driver in the Vehicle? Code 1. Yes 2. No I 1 46. Highway -Rail Crossing Users 0 1 47. Highway Vehicle Property Damage (est dollar damage) I $1,000 48. Total Number of Highway -Rail Crossing Users (include driver) 1 49. Railroad Employees 0 0 50. Total Number of People on Train (include passengers and crew) 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 1 52. Passengers on Train 0 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OFPARTMFNT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIGHWAY-RAII C;RAnF (:BOSSING ACCIDENT/INCIDENT REPORT EXHIBIT B OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company [UP) la. Up lb. 0576WY213 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance 3a. 3b. 4. U.S. DOT-AAR Grade Crossing ID No. 804352D 5. Date of Accident/Incident 05/23/76 6. Time of Accident/Incident 07.15 PM 7. Nearest Railroad Station PECKHAM 8. Division 9. County WELD 10. State Code Abbr. 08 I CO 11. City (if in a city) 12. Highway Name or No. HIGHWAY 44 V Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code A 17. Equipment 4. Car(s) (moving) B. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code 1 14. Vehicle Speed (est mph at impact) 5 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 4 18. Position of Car Unit in Train 1 16. Position 1. Stalled on crossing 3. Moving over crossing Code 2. Stopped on Crossing 4. Trapped I 3 19. Circumstance 1. Rail equipment struck highway user Code 2. Rail equipment struck by highway user I 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 4 20b. Was there a hazardous materials release by 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 60 °F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 2 23. Weather (single entry) Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow I 1 24. Type of Equipment A. Spec. MoW Equip Consist 1. Freight train 4. Work train 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s Code 3. Commuter train 6. Cut of cars 9. Main./inspect. car I 1 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or Name SINGLE MAIN 27. FRA Track Class 4 28. Number of Locomotive Units 4 29. Number of Cars 50 30. Consist Speed (Recorded if available) Code R. Recorded E. Estimated SS mph I E 31. Time Table Direction Code 1. North 2. South 3. East 4. West 13 32. Type of 1. Gates 4. Wig wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning Allgd. no warn (4); 34. Whistle Ban 1. Yes 2. No 3. Unknown Code Code(s) I 07 I 08 I I I I 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach Code 1 36. Crossing Waming Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Lights or Special Lights 1. Yes 2. No 3. Unknown Code 2 38. Driver's Age 39. Driver's Gender 1. Male 2. Female Code 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) 3. Did not stop Code 2 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed Code 8 Casualties to: Killed Injured 44. Driver was Code 1. Killed 2. Injured 3. Uninjured I 3 45. Was Driver in the Vehicle? Code 1. Yes 2. No 2 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage (est dollar damage) I $0 48. Total Number of Highway -Rail Crossing Users (include driver) 2 49. Railroad Employees 0 0 50. Total Number of People on Train (include passengers and crew) 51. Is a Rail Equipment Accident / Code Incident Report Being Filed 1. Yes 2. No I 2 52. Passengers on Train 0 0 53a. Special Study Block 153b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A EXHIBIT C ESTIMATE OF FORCE ACCOUNT WORK BY THE UNION PACIFIC RAILROAD COMPANY DESCRIPTION OF WORK: Engineering and other related services for work to be performed within railroad right of way. This includes railroad flagging services, project and construction management during construction activities in railroad right of way. All necessary railroad services will be billed at actual cost. DATE: 3/8/2021 LOCATION: Peckham Overpass DOT# 975328X Gilcrest, CO SUBDIVISION / MILEPOST: Greeley Subdivision MP: 42.574 DESCRIPTION LABOR MATERIAL UP 0% Agency 100% TOTAL ENGINEERING Project 44 (per Crossing Management day) of and Observation SERVICES 454 $ $ $ $ 49,440.00 $ - $ $ $ - - - $ $ 140,000.00 $ 681,000.00 49,440.00 $ 49,440 $ 140,000 $ 681,000 143,000.00 CR FLAGGING RATE Estimated / # INSPECTION Days Removal Flagging 1,500.00 681,000.00 TOTAL PROJECT: $ 870,440.00 $ - $ - $ 870,440.00 $ 870,440 TOTAL ESTIMATED COST: THE ABOVE FIGURES ARE ESTIMATES ONLY AND SUBJECT TO FLUCTUATION. IN THE EVENT OF AN INCREASE OR DECREASE IN THE COST OR QUANTITY OF MATERIAL OR LABOR REQUIRED, THE RAILROAD WILL BILL FOR ACTUAL COSTS AT THE CURRENT RATES EFFECTIVE THEREOF. $870,440 Flagging may be performed by a third -party contractor. Any flagging performed by a third -party contractor will be billed at said third -party contractor rate not included in the above estimate. Alternatively, the Agency may enter into a separate agreement with third -party contractor and will be responsible for all actual costs incurred. P Project: NHPP PP 0853-108; SA: 22370 Location Map: Weld CR 44 Union Pacific Railroad Greeley Sub 1O7 Crossing #804-352 'railroad Milepost 42.38; Lai, Long: 40.3046354, -104.7502752 Weld County 0 ri nt Showing C ass 3 ExhibR- ng Locatiol U. S. DOT CROSSING INVENTORY FORM EXHIBIT E DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION OMB No. 2130-0017 Instructions for the initial reporting of the following types of new or previously unreported crossings: For public highway -rail grade crossings, complete the entire inventory Form. For private highway -rail grade crossings, complete the Header, Parts I and II, and the Submission Information section. For public pathway grade crossings (including pedestrian station grade crossings), complete the Header, Parts I and I , and the Submission Information section. For Private pathway grade crossings, complete the Header, Parts I and II, and the Submission Information section. For grade -separated highway -rail or pathway crossings (including pedestrian station crossings), complete the Header, Part I, and the Submission Information section. For changes to existing data, complete the Header, Part I Items 1-3, and the Submission Information section, in addition to the updated data fields. Note: For private crossings only, Part I Item 20 and Part III Item 2.K. are required unless otherwise noted. An asterisk * denotes an optional field. A. Revision Date (MM/DD/YYYY) 10 / 20 / 2020 B. Reporting Agency ® Railroad ❑ Transit ❑ State ❑ Other C. Reason for Update (Select only one) N Change in ❑ New ❑ Closed ❑ No Train ❑ Quiet Data Crossing Traffic Zone Update ❑ Re -Open ❑ Date ❑ Change in Primary ❑ Admin. Change Only Operating RR Correction D. DOT Crossing Inventory Number 804351W Pa rk I Location and Classification -Information 7t 1. Primary Operating Railroad Union Pacific Railroad Company [UP] 2. State COLORADO 3. County WELD 4. City / Municipality ❑ In N Near GILCREST 5. Street/Road Name & Block Number CR 33 I 6. Highway Type & No. TBD (Street/Road Name) 1* (Block Number) 7. Do Other Railroads Operate a Separate Track at Crossing? ❑ Yes N No If Yes, Specify RR 8. Do Other Railroads Operate Over Your Track at Crossing? ❑ Yes N No If Yes, Specify RR 9. Railroad Division or Region ❑ None GREAT PLAINS 10. Railroad Subdivision or District ❑ None GREELEY SU3 11. Branch or Line Name N None 12. RR Milepost i 0042.090 i (prefix) I (nnnn.nnn) I (suffix) 13. Line Segment * 14. Nearest RR Timetable Station * 15. Parent RR (if applicable) N N/A 16. Crossing Owner (if applicable) ❑ N/A UP 17. Crossing Type N Public ❑ Private 18. Crossing Purpose N Highway ❑ Pathway, Ped. ❑ Station, Ped. 19. Crossing Position N At Grade ❑ RR Under ❑ RR Over 20. Public Access fif Private Crossing) ❑ Yes ❑ No 21. Type of Train N Freight ❑ Transit ❑ Intercity Passenger ❑ Shared Use Transit ❑ Commuter ❑ Tourist/Other 22. Average Passenger Train Count Per Day ❑ Less Than One Per Day ❑ Number Per Day 0 23. Type of Land Use N Open Space ❑ Farm ❑ Residential ❑ Commercial ❑ Industrial ❑ Institutional ❑ Recreational ❑ RR Yard 24.1s there an Adjacent Crossing with a Separate Number? ❑ Yes N No If Yes, Provide Crossing Number 25. Quiet Zone (FRA provided) IA No ❑ 24 Hr ❑ Partial ❑ Chicago Excused Date Established 26. HSR Corridor ID N N/A 27. Latitude in decimal degrees (WGS84 std: nn.nnnnnnn) 40.3013686 28. Longitude in decimal degrees (WGS84 std:-nnn.nnnnnnn) -104.7539765 29. Lat/Long Source ® Actual CIEstimated 30.A. Railroad Use * 31.A. State Use * 30.B. Railroad Use * 31.B. State Use * 30.C. Railroad Use * 31.C. State Use * 30.D. Railroad Use * 31.D. State Use * 32.A. Narrative (Railroad Use) * 32.B. Narrative (State Use) * 33. Emergency Notification Telephone No. (posted) 800-848-8715 34. Railroad Contact (Telephone No.) 402-544-3721 35. State Contact (Telephone No.) 303-757-9425 P,,art II: Railroad Information 1. Estimated Number of Daily Train Movements 1.A. Total Day Thru Trains (6 AM to 6 PM) 5 1.B. Total Night Thru Trains (6 PM to 6 AM) 4 1.C. To:al Switching Trains 0 1.D. Total Transit Trains 0 1.E. Check if Less Than One Movement Per Day ❑ How many trains per week? 2. Year of Train Count Data (YYYY) 2020 3. Speed of Train at Crossing 3.A. Maximum Timetable Speed (mph) 60 3.B. Typical Speed Range Over Crossing (mph) From 30 to 60 4. Type and Count of Tracks Main 1 Siding° Yard 0 Transit 0 Industry 0 5. Train Detection (Main Track only) ❑ Constant Warning Time ❑ Motion Detection ❑AFO ❑ PTC ❑ DC ❑ Other N None 6. Is Track Signaled? N Yes ❑ No 7.A. Event Recorder ❑ Yes N No 7.B. Remote Health Monitoring ❑ Yes N No FORM FRA F 6180.71 (Rev. 08/03/2016) OMB approval expires 11/30/2022 Page 1 OF 2 EXHIBIT E U. S. DOT CROSSING INVENTORY FORM A. Revision Date (MM/DD/YYYY) 10/20/2020 PAGE 2 D. Crossing 804351W Inventory Number (7 char.) Part Ilia Highway or Pathway Traffic Control Device Information 1. Are there 2. Types of Passive Traffic Control Devices associated with the Crossing Signs CYes _ or Signals? 2.A. Crossbuck Assemblies (count) 2.3. STOP (count) cg ( ) Signs R1-1 2.C. YIELD Signs R1-2 g ( (count) ) 2.D. r Advance Warning Signs(Check g W10-1 2 all that apply; include pp Y, W10-3 0 ❑ count) W10-11 0 None No 2 2 0 W10-2 0 ❑ W10-4 0 ❑ W10-12 0 2.E. (W10-5) Low Ground Clearance Sign 2.F. C Pavement Stop Lines Markings ❑Dynamic Envelope 2.G. Devices/Medians All Channelization Approaches Median 2.H. (R15-3) EXEMPT Sign Yes 2.1. Displayed C ENS Sign (1-13) Yes C No C RR Xing Symbols None One Approach R None C No No 2.J. Specify Other MUTCD Signs Type Count Yes 0 C No 2.K. Signs Private Crossing (if private) 2.L. LED Enhanced Signs (List types) Specify Type Count 0 Yes No Specify Type Count 3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply) 3.A. (count) Gate Arms 3.B. Gate Configuration 3.C. Cantilevered Structures (or Bridged) Flashing (count) Light 3.D. Mast Mounted Flashing Lights (count of masts) 0 3.E. Total Count of 1 Flashing Light Pairs 2 Quad F Full (Barrier) Over Traffic Lane 0 ❑ Incandescent Incandescent ❑ LED Roadway 0 ❑ 3 Quad Resistance Back Lights Included ❑ Side Lights 0 Pedestrian 0 4 Quad ❑ Median Gates Not Over Traffic Lane 0 ❑ LED Included 3.F. Active Installation Date of Current Warning Devices: (MM/YYYY) / C Not Required 3.G. Wayside Horn 3.H. Crossing Highway Traffic Signals Controlling C 3.1. Bells (count) Yes No 0 C No 3.J. ❑ Non -Train Active Flagging/Flagman Warning ❑Manually Operated S gnals Watchman _ Floodlighting ❑ None 3.K. Other Flashing Lights or Warning Devices Count 0 Specify type 4.A. Intersection Traffic Does nearby Hwy have Signals? 4.B. Interconnection Hwy Not Traffic Interconnected Signal Signals 4.C. Hwy Traffic Signal Preemption Simultaneous 5. Storage Highway Traffic Pre -Signals Yes R No Distance * 6. (Check ❑ Highway Monitoring Devices all that apply) Yes - Photo/Video Recording Yes — Vehicle Presence Detection Yes No ❑ For Warning Signs ❑ Advance Stop Line Distance * ❑ None Part IV: Physical Characteristics 1. Number Traffic Lanes Crossing Railroad of Lanes 2 ❑ 14 ❑ One-way Traffic Two-way Traffic Divided Traffic 2. Is Roadway/Pathway Paved? R Yes ❑ No 3. Does Track ❑ Run Down Yes C a Street? No 4. Is Crossing lights within nearest rail) _ Illuminated? approx. 50 feet Yes C (Street from No 5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) / Width * 48 Length * 48 ❑ ❑ 1 Timber _ 8 Unconsolidated 2 Asphalt 9 Composite 3 3 Asphalt ❑ and Timber 10 Other (specify) +d 4 Concrete 5 Concrete and Rubber ❑ 6 Rubber _ 7 Metal 6. C Intersecting Yes Roadway within 500 feet? No If Yes, Approximate Distance (feet) 230 7. Smallest Crossing 14 Angle 6 60° - 90° 8. Is Commercial ❑ Power Yes C Available? * No Part V: Public Highway Information 1. Highway System 2. Functional Classification of L (0) Rural Road ❑ (1) at Crossing Urban 3. Is Crossing on State Highway System? 4. Highway Speed Limit MPH ❑ (01) Interstate Highway System ( (1) Interstate ( (5) Major Collector ❑ Yes N No Posted _ Statutory ( (02) Other Nat Hwy System (NHS) (03) Federal AID, Not NHS ( (2) Other (3) Other Freeways and Expressways Principal Arterial (6) Minor Collector 5. Linear Referencing System (LRS Route ID) * C (08) Non -Federal Aid ❑ (4) Minor Arterial C (7) Local 6. LRS Milepost 7. Annual Average Year 1987 AADT Daily Traffic 100 (AADT) 8. Estimated 05 Percent Trucks /o 9. Regularly Used by School Buses? Yes L No Average Number per Day 0 10. Emergency Yes ❑ Services No Route Submission Information - This information is used for administrative purposes and is not available on the public website. Submitted by Organization Phone Date Public reporting burden for this sources, gathering and maintaining agency may not conduct or sponsor, displays a currently valid OMB other aspect of this collection, Washington, DC 20590. information the data and a control number. including for collection is estimated to average 30 minutes per response, including needed and completing and reviewing the collection of information. person is not required to, nor shall a person be subject to a penalty The valid OMB control number for information collection is 2130-0017. reducing this burden to: Information Collection Officer, Federal i the time for reviewing instructions, searching existing data According to the Paperwork Reduction Act of 1995, a federal for failure to comply with, a collection of information unless it Send comments regarding this burden estimate or any Railroad Administration, 1200 New Jersey Ave. SE, MS -25 FORM FRA F 6180.71 (Rev. 08/03/2016) OMB approval expires 11/30/2022 Page 2 OF 2 U. S. DOT CROSSING INVENTORY FORM EXHIBIT F DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION OMB No. 2130-0017 Instructions for the initial reporting of the following types of new or previously unreported crossings: For public highway -rail grade crossings, complete the entire inventory Form. For private highway -rail grade crossings, complete the Header, Parts I and II, and the Submission Information section. For public pathway grade crossings (including pedestrian station grade crossings), complete the Header, Parts I and II, and the Submission Information section. For Private pathway grade crossings, complete the Header, Parts I and II, and the Submission Information section. For grade -separated highway -rail or pathway crossings (including pedestrian station crossings), complete the Header, Part I, and the Submission Information section. For changes to existing data, complete the Header, Part I Items 1-3, and the Submission Information section, in addition to the updated data fields. Note: For private crossings only, Part I Item 20 and Fart III Item 2.K. are required unless otherwise noted. An asterisk * denotes an optional field. A. Revision Date (MM/DD/YYYY) 10 / 20 / 2020 B. Reporting Agency N Railroad ❑ Transit ❑ State ❑ Other C. Reason for Update (Select only one) ® Change in ❑ New ❑ Closed ❑ No Train ❑ Quiet Data Crossing Traffic Zone Update ❑ Re -Open ❑ Date ❑ Change in Primary ❑ Admin. Change Only Operating RR Correction D. DOT Crossing Inventory Number 804354S art I Location, andC assification-Information 1. Primary Operating Railroad I 2. State Union Pacific Railroad Company [UP] COLORADO 3. County WELD 4. City / Municipality ❑ In RI Near LA SALLE 5. Street/Road Name & Block Number CR 46 I 6. Highway Type & No. NA (Street/Road Name) I* (Block Number) 7. Do Other Railroads Operate a Separate Track at Crossing? ❑ Yes R No If Yes, Specify RR 8. Do Other Railroads Operate Over Your Track at Crossing? ❑ Yes L No If Yes, Specify RR 9. Railroad Division or Region ❑ None GREAT PLAINS 10. Railroad Subdivision or District ❑ None Greeley Sub 11. Branch or Line Name NI None 12. RR Milepost 0043.660 (prefix) I (nnnn.nnn) I (suffix) 13. Line Segment * 14. Nearest RR Timetable Station * 15. Parent RR (if applicable) N/A 16. Crossing Owner (if applicable) ❑ N/A UP 17. Crossing Type R Public ❑ Private 18. Crossing Purpose IN Highway ❑ Pathway, Ped. ❑ Station, Ped. 19. Crossing Position N At Grade ❑ RR Under ❑ RR Over 20. Public Access (if Private Crossing) II Yes 1 No 21. Type of Train RI Freight ❑ Transit ❑ Intercity Passenger ❑ Shared Use Transit ❑ Commuter ❑ Tourist/Other 22. Average Passenger Train Count Per Day ❑ Less Than One Per Day ❑ Number Per Day 0 23. Type of Land Use NI Open Space ❑ Farm ❑ Residential ❑ Commercial ❑ Industrial ❑ Institutional ❑ Recreational ❑ RR Yard 24.1s there an Adjacent Crossing with a Separate Number? ❑ Yes R No If Yes, Provide Crossing Number 25. Quiet Zone (FRA provided) ® No ` ❑ 24 Hr ❑ Partial ❑ Chicago Excused Date Established 26. HSR Corridor ID N/A 27. Latitude in decimal degrees (WGS84 std: nn.nnnnnnn) 40.3187551 28. Longitude in decimal degrees (WGS84 std:-nnn.nnnnnnn) -104.7342705 29. Lat/Long Source ® Actual ❑ Estimated 30.A. Railroad Use * 31.A. State Use * 30.B. Railroad Use * 31.B. State Use * 30.C. Railroad Use * 31.C. State Use * 30.D. Railroad Use * 31.D. State Use * 32.A. Narrative (Railroad Use) * 32.B. Narrative (State Use) * 33. Emergency Notification Telephone No. (posted) 800-848-8715 34. Railroad Contact (Telephone No.) 402-544-3721 35. State Contact (Telephone No.) 303-757-9425 part : Railroad information, 1. Estimated Number of Daily Train Movements 1.A. Total Day Thru Trains (6 AM to 6 PM) 5 1.B. Total Night Thru Trains (6 PM to 6 AM) 4 1.C. Total Switching Trains 0 1.D. Total Transit Trains 0 1.E. Check if Less Than One Movement Per Day ❑ How many trains per week? 2. Year of Train Count Data (YYYY) 2020 3. Speed of Train at Crossing 3.A. Maximum Timetable Speed (mph) 60 3.B. Typical Speed Range Over Crossing (mph) From 30 to 60 4. Type and Count of Tracks Main 1 Siding() Yard 0 Transit 0 Industry 0 5. Train Detection (Main Track only) ❑ Constant Warning Time ❑ Motion Detection ❑AFO ❑ PTC ❑ DC ❑ Other N None 6. Is Track Signaled? NI Yes ❑ No 7.A. Event Recorder ❑ Yes ® No 7.B. Remote Health Monitoring ❑ Yes [ No FORM FRA F 6180.71 (Rev. 08/03/2016) OMB approval expires 11/30/2022 Page 1 OF 2 EXHIBIT F U. S. DOT CROSSING INVENTORY FORM A. Revision Date (MM/DD/YYYY) 10/20/2020 PAGE 2 D. Crossing Inventory Number (7 char.) 804354S Part III: Highway or Pathway Traffic Control Device Information 1. Are there Signs or Signals? ® Yes ❑ No 2. Types of Passive Traffic Control Devices associated with the Crossing 2.A. Crossbuck Assemblies (count) 2.8. STOP Signs (R1-1) (count) 2.C. YIELD Signs (R1-2) (count) 2.D. Advance Warning Signs (Check all that apply; include count) ❑ None ® wio-i 2 CI W10-3 0 CI W10-11 0 2 2 0 ❑ W10-2 0 ❑ W10-4 0 ❑ W10-12 0 2.E. Low Ground Clearance Sign (W10-5) ❑ Yes (count 0 ) 2.F. Pavement Markings lit Stop Ones ❑Dynamic Envelope ❑ RR Xing Symbols ❑ None 2.G. Channelization Devices/Medians ❑ All Approaches ❑ Median ❑ One Approach RI None 2.H. EXEMPT Sign (R15-3) ❑ Yes ® No 2.1. ENS Sign (1-13) Displayed E Yes ❑ No ® No 2.J. Other MUTCD Signs El Yes ® No Specify Type Count 0 Z.K. Private Crossing Signs (if private) ❑ Yes ❑ No Z.L. LED Enhanced Signs (List types) Specify Type Count 0 Specify Type Count 3. Types of Train Activated Warning Devices at the Grade Crossing (specify count of each device for all that apply) 3.A. Gate Arms (count) Roadway 0 3.B. Gate Configuration ❑ 2 Quad ❑ Full (Barrier) ❑ 3 Quad Resistance El 4 Quad ❑ Median Gates 3.C. Cantilevered (or Bridged) Flashing Light Structures (count) Over Traffic Lane 0 ❑ Incandescent 3.D. Mast Mounted Flashing Lights (count of masts) 0 3.E. Total Count of Flashing Light Pairs 0 ❑ Incandescent ❑ LED ❑ Back Lights Included ❑ Side Lights Included Not Over Traffic Lane 0 ❑ LED Pedestrian 0 3.F. Installation Date of Current Active Warning Devices: (MM/YYYY) Not Required 3.G. Wayside Horn DI Yes Installed on (MM/YYVY) / 3.H. Highway Traffic Signals Controlling Crossing CI Yes C3 No 3.1. Bells (count) 0 ® No 3.J. Non -Train Active Warning El Flagging/Flagman ❑Manually Operated Signals ❑ Watchman ❑ Floodlighting ❑ None 3.K. Other Flashing Lights or Warning Devices Count 0 Specify type 4.A. Does nearby Hwy Intersection have Traffic Signals? ❑ Yes ❑ No 4.B. Hwy Traffic Signal Interconnection ❑ Not Interconnected ❑ For Traffic Signals ❑ For Warning Signs 4.C. Hwy Traffic Signal Preemption ❑ Simultaneous El Advance 5. Highway Traffic Pre -Signals ❑ Yes lit No Storage Distance * 6. Highway Monitoring Devices (Check all that apply) ❑ Yes- Photo/Video Recording ❑ Yes —Vehicle Presence Detection ❑ None Stop Line Distance * Part IV: Physical Characteristics 1. Traffic Lanes Crossing Railroad El One-way Traffic IA Two-way Traffic Number of Lanes 2 ❑ Divided Traffic 2. Is Roadway/Pathway Paved? C9 Yes ❑ No 3. Does Track Run Down a Street? ❑ Yes Ii No 4. Is Crossing Illuminated? (Street lights within approx. 50 feet from nearest rail) El Yes ® No 5. Crossing Surface (on Main Track, multiple types allowed) Installation Date * (MM/YYYY) / Width * Length * 32 ❑ 1 Timber ❑ 2 Asphalt ❑ 3 Asphalt and Timber ® 4 Concrete ❑ 5 Concrete and Rubber ❑ 6 Rubber ❑ 7 Metal ❑ 8 Unconsolidated ❑ 9 Composite 0 10 Other (specify) 6. Intersecting Roadway within 500 feet? lil Yes ❑ No If Yes, Approximate Distance (feet) 75 7. Smallest Crossing Angle ❑ 0° — 29° ❑ 30° — 59° E 60° - 90° 8. Is Commercial Power Available? * ® Yes ❑ No -Part V: Public Highway Information 1. Highway System ❑ (01) Interstate Highway System ❑ (02) Other Nat Hwy System (NHS) El (03) Federal AID, Not NHS lI (08) Non -Federal Aid 2. Functional Classification of Road at Crossing ® (0) Rural ❑ (1) Urban ❑ (1) Interstate ❑ (5) Major Collector ❑ (2) Other Freeways and Expressways ❑ (3) Other Principal Arterial E (6) Minor Collector ❑ (4) Minor Arterial ❑ (7) Local 3. Is Crossing on State Highway System? 4. Highway Speed Limit MPH ❑ Yes l No ❑ Posted El Statutory 5. Linear Referencing System (LRS Route ID) * 6. LRS Milepost * 7. Annual Average Daily Traffic (AADT) Year 1987 AADT 10 8. Estimated Percent Trucks 05 % 9. Regularly Used by School Buses? ❑ Yes NI No Average Number per Day 0 10. Emergency Services Route ❑ Yes El No Submission Information - This information is used for administrative purposes and is not available on the public website. Submitted by Organization Phone Date Public reporting burden for this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed and completing and reviewing the collection of information. According to the Paperwork Reduction Act of 1995, a federal agency may not conduct or sponsor, and a person is not required to, nor shall a person be subject to a penalty for failure to comply with, a collection of information unless it displays a currently valid OMB control number. The valid OMB control number for information collection is 2130-0017. Send comments regarding this burden estimate or any other aspect of this collection, including for reducing this burden to: Information Collection Officer, Federal Railroad Administration, 1200 New Jersey Ave. SE, MS -25 Washington, DC 20590. FORM FRA F 6180.71 (Rev. 08/03/2016) OMB approval expires 11/30/2022 Page 2 OF 2 DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIGHWAY -RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT EXHIBIT G OMB Approval No. 2130-0500 1.Name of Reporting Railroad Union Pacific Railroad Company [UP] Ia. Alphabetic Code UP lb. Railroad Accident/Incident No. 0718DV007 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance (single entry) Union Pacific Railroad Company [UP] 3a. Alphabetic Code UP 3b. Railroad Accident/Incident No. 0718DV007 4. U.S. DOT Grade Crossing ID No. 804351W 5. Date of Accident/Incident month 0 17 day 0 19 year 2018 6. Time of Accident/Incident 6:13 AM ✓ PM ❑ 7. Nearest Railroad Station GILCREST 8. Subdivision GREELEY SUB 9. County WELD 10. State Code Abbr. CO I 08 11. City (if in a city) 12. Highway Name or No. WELD COUNTY ROAD 33 Publics Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian Code B. Truck E. Van H. Motorcycle M. Other (specify) I C 17. Equipment 4. Car(s) (moving) A. Train pulling- RCL 1 Train (units pulling) 5. Car(s) (standing) B. Train pushing- RCL 2. Train (units pushing) 6. Light loco(s) (moving) C. Train standing- RCL D. EMU Locomotive(s) Code 3. Train (standing) 7. Light loco(s) (standing) 8. Other (specify) E. DMU Locomotive(s) I 1 14. Vehicle Speed (est. mph at impact) 5 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 4 18. Position of Car Unit in Train 1 16. Position 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates I Code 3. Moving over crossing 3 19. Circumstance Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 2 20b. Was there a hazardous materials release by Code 1. Highway User 2. Rail Equipment 3. Both 4. Neither I 4 20c. State here the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 75 of 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 1 23. Weather (single entry) Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow 1 24. Type of Equipment 1. Freight Train 5. Single Car 9. Maint./inspect. car D. EMU Consist 2. Passenger Train -Pulling 6. Cut of cars A. Spec. MoW Equip. E. DMU (single entry) 3. Commuter Train -Pulling 7. Yard/Switching B. Passenger Train -Pushing Code 4. Work Train 8. Light loco(s) C. Commuter Train -Pushing I 1 25. Track Type Used by Rail Code Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry I 1 26. Track Number or Name SINGLE MAIN TRACK 27. FRA Track Class (1-9,X) 4 28. Number of Locomotive Units 3 29. Number of Cars 37 30. Consist Speed (Recorded speed if available) Code R. Recorded E. Estimated 44 mph R 31. Time Table Direction Code 1. North 3. East 2. South 4. West I 1 32. Type of 1. Gates 4. Wig wags 7. Crossbucks 10. =lagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning (See reverse side for instructions and codes) Code 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A Code(s) I 08 I 07 I I I I I 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 37. Crossing Illuminated by Street Lights or Special Lights 1. Yes 2. No 3. Unknown Code 2 38.Hignway User's Age 33 39.Highway User's Gender 1. Male 2. Female Code 1 40. Highway User Went Behind or in Front of and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Train Code 2 41. Highway User 5. Other (specify) 1. Went around the gate 6. Went around/thru temporary barricade 2. Stopped and then proceeded (if yes, see instructions) 3. Did not stop 7. Went thru the gate 4. Stopped on crossing 8. Suicide/Attempted suicide Code 3 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was 1. Killed 2. Injured 3. Uninjured 13 45. Was Driver in the Vehicle? Code 1. Yes 2. No 1 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage (est. dollar damage) I $500,000 48. Total Number of Vehicle Occupants (including driver) 2 49. Railroad Employees 0 0 50. Total Number cf People on Train (include passergers and train crew) I 51. Is a Rail Equipment Accident / Code Incident Report Being Filed I 1 1. Yes 2. No 52. Passengers on Train 0 0 53a. Special Study Block Video Taken? Video Used? ✓ Yes V Yes _ No No 53b. Special Study Block 54. Narrative Description (Be specific, and continue on separate sheet if necessary) HIGHWAY USER'S ACTIONS: DID NOT STOP. 55. Typed Name and Title 156. Signature I57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not "be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approved 6/6/2018, Approval expires 6/30/2021 DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIGHWAY -RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT EXHIBIT G OMB Approval No. 2130-0500 1.Name of Reporting Railroad Union Pacific Railroad Company [UP] 1 a. Alphabetic UP Code 1 b. Railroad Accident/Incident No. 0518DV002 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance (single entry) 3a. Alphabetic Code 3b. Railroad Accident/Incident No. Union Pacific Railroad Company [UP] UP 0518DV002 4. U.S. DOT Grade Crossing ID No. 5. Date of Accident/Incident 6. Time of Accident/Incident month day year 804351W 0 5 0 2 2018 6:06 AM PM V 7. Nearest Railroad Station 8. Subdivision 9. County 10. State Code GILCREST GREELEY SUB WELD Abbr. CO 08 11. City (if in a city) 12. Highway Name or No. COUNTY ROAD 33 Public VPrivate! Highway User Involved Rail Equipment Involved 13. Type 17. Equipment 4. Car(s) (moving) A. Train pulling- RCL C. Truck -trailer F. Bus J. Other Motor Vehicle 1 Train(unitspulling)5. Car(s) (standing) B. Train pushing- RCL A. Auto D. Pick-up truck G. School Bus K. Pedestrian Code 6. Light loco(s) (moving) C. Train standing- RCL 2. Train (units pushing) D. EMU Locomotive(s) Code B. Truck E. Van H. Motorcycle M. Other (specify) C 3. Train (standing) 7. Light loco(s) (standing) 8. Other (specify) E. DMU Locomotive(s) 1 14. Vehicle Speed 15. Direction (geographical) Code 18. Position of Car Unit in Train (est. mph at impact) 0 1. North 2. South 3. East 4. West 3 1 16. Position 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic Code 19. Circumstance Code 2. Stopped on Crossing 5. Blocked on crossing 3. Moving over crossing by gates 2 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 1 20a. Was the highway user and/or rail equipment involved 20b. Was there a hazardous materials release by Code in the impact transporting hazardous materials? Code 1. Highway User 2. Rail Equipment 3. Both 4. Neither 2 1. Highway User 2. Rail Equipment 3. Both 4. Neither 4 20c. State here the name and quantity of the hazardous material released, if any 21. Temperature 22. Visibility (single entry) Code 23. Weather (single entry) Code (specify if minus) 50 of 1. Dawn 2. Day 3. Dusk 4. Dark 3 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow 3 24. Type of Equipment 1. Freight Train 5. Single Car 9. Maint./inspect. car D. EMU Consist 2. Passenger Train -Pulling 6. Cut of cars A. Spec. MoW Equip. E. DMU 25. Track Type Used Equipment Involved by Rail Code 26. Track Number or Name (single entry) 3. Commuter Train -Pulling 7. Yard/Switching B. Passenger Train -Pushing Code SINGLE MAIN 4. Work Train 8. Light loco(s) C. Commuter Train -Pushing 1 1. Main 2. Yard 3. Siding 4. Industry 1 TRACK 27. FRA Track 28. Number of 29. Number of Cars 30. Consist Speed (Recorded speed if available) Code 31. Time Table Direction Code Class (1-9,X) Locomotive R. Recorded 1. North 3. East 4 Units 4 48 E. Estimated 59 mph R 2. South 4. West 2 32. Type of 33. Signaled Crossing Warning 34. Roadway Conditions 1. Gates 4. Wig wags 7. Crossbucks 10. Flagged by crew A. Dry Crossing (See reverse side for B. Wet 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) instructions and codes) C.Snow/Slush Warning 3. Standard FLS 6. Audible 9. Watchman 12. None Code Ice D.Code E. Sand,Mud,Dirt,Oil,Gravel Code(s) 08 07 F.Water (Standing Moving ) B 35. Location of Warning 36. Crossing Warning Interconnected 37. Crossing Illuminated by Street 1. Both Sides Code with Highway Signals Code Lights or Special Lights Code 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach 1 1. Yes 2. No 3. Unknown 1. Yes 2. No 3. Unknown 2 38.Hignway 39.Highway User's Gender 40. Highway User Went Behind or in Front of Train 41. Highway User 5. Other (specify) User's and Struck or was Struck by Second Train 1. Went around the gate 6. Went around/thru temporary barricade Age 1. Male Code Code 2. Stopped 3. Did not stop and then proceeded (if yes, see instructions) 7. Went thru the gate Code 46 2. Female 1 1. Yes 2. No 3. Unknown 2 4. Stopped on crossing 8. Suicide/Attempted suicide 4 42. Driver Passed Standing Code 43. View of Track Obscured by (primary obstruction) Code Highway Vehicle 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 1. Yes 2. No 3. Unknown 2 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed 8 44. Driver was 45. Was Driver in the Vehicle? Code Casualties to: Killed Injured 1. Killed 2. Injured 3. Uninjured 3 1. Yes 2. No 1 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage 48. Total Number of Vehicle Occupants (est. dollar damage) $10,000 (including driver) 1 49. Railroad Employees 0 0 50. Total Number of People on Train 51. Is a Rail Equipment Accident / Code 52. Passengers on Train 0 0 (include passengers and train crew) 2 Incident Report Being Filed 1. Yes 2. No 1 53a. Special Study Block Video Taken? ✓ Yes _ No 53b. Special Study Block Video Used? Yes V No 54. Narrative Description (Be specific, and continue on separate sheet if necessary) HIGHWAY USER'S ACTIONS: STOPPED ON CROSSING (NO GATES). 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not "be admitted as evidence or used for any purpose in any suit or action for damages growirq out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approved 6/6/2018, Approval expires 6/30/2021 DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIGHWAY -RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT EXHIBIT G OMB Approval No. 2130-0500 1.Name of Reporting Railroad Union Pacific Railroad Company [UP] 1a. Alphabetic Code UP 1 b. Railroad Accident/Incident No. 0916DV006 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance (single entry) Union Pacific Railroad Company [UP] 3a. Alphabetic Code UP 3b. Railroad Accident/Incident No. 0916DV006 4. U.S. DOT Grade Crossing ID No. 804351W 5. Date of Accident/Incident month 0 19 day 1 19 year 2016 6. Time of Accident/Incident 2:30 AM ❑ PM V 7. Nearest Railroad Station GILCHRIST 8. Subdivision GREELEY SUB 9. County WELD 10. State Code Abbr. CO I 08 11. City (if in a city) I 12. Highway Name or No. COUNTY ROAD 33 Publics Privates Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian Code B. Truck E. Van H. Motorcycle M. Other (specify) j 17. Equipment 4. Car(s) (moving) A. Train pulling- RCL 1 Train (units pulling) 5. Car(s) (standing) B. Train pushing- RCL 2. Train (units pushing) 6. Light loco(s) (moving) C. Train standing- RCL D. EMU Locomotive(s) Code 3. Train (standing) 7. Light loco(s) (standing) 8. Other (specify) E. DMU Locomotive(s) I 1 14. Vehicle Speed (est. mph at impact) 5 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 4 18. Position of Car Unit in Train 1 16. Position 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates 3. Moving over crossing Code 3 19. Circumstance Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? Code 1. Highway User 2. Rail Equipment 3. Both 4. Neither I 4 20b. Was there a hazardous materials release by Code 1. Highway User 2. Rail Equipment 3. Both 4. Neither I 4 20c. State here the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 86 aF 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 2 23. Weather (single entry) Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow I 1 24. Type of Equipment 1. Freight Train 5. Single Car 9. Maint./inspect. car D. EMU Consist 2. Passenger Train -Pulling 6. Cut of cars A. Spec. MoW Equip. E. DMU (single entry) 3. Commuter Train -Pulling 7. Yard/Switching B. Passenger Train -Pushing Code 4. Work Train 8. Light loco(s) C. Commuter Train -Pushing I 1 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or Name SINGLE MAIN TRK ONE 27. FRA Track Class (1-9,X) 3 28. Number of Locomotive Units 6 29. Number of Cars 104 30. Consist Speed (Recorded speed if available) Code R. Recorded E. Estimated 40 mph I R 31. Time Table Direction Code 1. North 3. East 2. South 4. West I 2 32. Type of 1. Gates 4. Wig wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning (See reverse side for instructions and codes) Code I 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush Dice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A Code(s) I 08 I 07 I I I I I 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach I Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Lights or Special Lights 1. Yes 2. No 3. Unknown Code 2 38.Hignway User's Age 62 39.Highway User's Gender 1. Male 2. Female Code 1 40. Highway User Went Behind or in Front of and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Train Code 2 41. Highway User 5. Other (specify) 1. Went around the gate 6. Went around/thru temporary barricade 2. Stopped and then proceeded (if yes, see instructions) 3. Did not stop 7. Went thru the gate 4. Stopped on crossing 8. Suicide/Attempted suicide Code 2 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was 1. Killed 2. Injured 3. Uninjured 13 45. Was Driver in the Vehicle? Code 1. Yes 2. No I I 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage (est. dollar damage) I $12,000 48. Total Number of Vehicle Occupants (including driver) 1 49. Railroad Employees 0 0 50. Total Number of People on Train (include passengers and train crew) I 71 51. Is a Rail Equipment Accident / Code Incident Report Being Filed o 2 . Yes 52. Passengers on Train 0 0 53a. Special Study Block Video Taken? Video Used? i,/ Yes Yes No i,/ No 53b. Special Study Block 54. Narrative Description (Be specific, and continue on separate sheet if necessary) HIGHWAY USER STOPPED AND THEN PROCEEDED OVER THE CROSSING AND WAS STRUCK BY THE ONCOMING TRAIN. 55. Typed Name and Title 156. Signature 157. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not "be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approved 6/6/2018, Approval expires 6/30/2021 DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIGHWAY -RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT EXHIBIT G OMB Approval No. 2130-0500 1.Name of Reporting Railroad Union Pacific Railroad Company [UP] 1 a. Alphabetic UP Code 1 b. Railroad Accident/Incident No. 1114DV017 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Union Pacific Railroad or Other Railroad Company Entity Responsible [UP1 for Track Maintenance single entry) 3a. Alphabetic Up Code 3b. Railroad Accident/Incident No. 1114DV017 4. U.S. DOT Grade Crossing ID No. 804351 W 5. Date month 1 of Accident/Incident 1 day 2 4 vear 2014 6. Time 12:26 of Accident/Incident AM PM V 7. Nearest Railroad Station GILCREST 8. Subdivision GREELEY SUB 9. County WELD 10. State Abbr. CO Code 08 11. City (if in a city) 12. Highway Name or No. COUNTY ROAD 33 Public Private Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian B. Truck E. Van H. Motorcycle M. Other (specify) Code C 17. Equipment 4. Car(s) (moving) A. Train pulling- RCL 1 Train(unitspulling)5. Car(s) (standing) B. Train pushing- RCL 6. Light loco(s) (moving) C. Train standing- RCL 2. Train (units pushing) D. EMU Locomotive(s) 3. Train (standing) 7. Light loco(s) (standing) 8. Other (specify) E. DMU Locomotive(s) Code 1 14. Vehicle Speed (est. mph at impact) 10 15. Direction 1. North (geographical) 2. South 3. East 4. West Code 4 18. Position of Car Unit in Train 1 16. Position 1. Stalled 2. Stopped 3. Moving or stuck on crossirg 4. Trapped on Crossing 5. Blocked over crossing on crossing by on crossing by traffic gates Code 3 19. Circumstance 1. Rail equipment struck highway user 2. Rail equipment struck by highway user Code 1 20a. Was the in the 1. Highway highway user and/or rail equipment involved impact transporting hazardous materials? User 2. Rail Equipment 3. Both 4. Neither Code 4 20b. Was 1. there a hazardous materials Highway User 2. Rail Equipment release by 3. Both 4. Neither Code 4 20c. State here the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 37 °F 22. 1. Visibility Dawn ;single entry) 2. Day 3. Dusk 4. Dark Code [ 2 23. Weather 1. Clear (single entry) 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow Code 2 24. Type of Equipment 1. Consist 2. (single entry) 3. 4. Freight Train Passenger Commuter Work Train Train -Pulling Train -Pulling 5. Single 6. Cut 7. Yard/Switching 8. Light Car 9. Maint./inspect. car D. EMU of cars A. Spec. MoW Equip. E. DMU B. Passenger Train -Pushing loco(s) C. Commuter Train -Pushing Code 1 25. Track 1. Main Type Used Equipment Involved 2. Yard 3. by Rail Siding 4. Industry Code 1 26. Track Number or Name SINGLE MAIN 27. FRA Track Class (1-9,X) 4 28. Number Locomotive Units of 3 29. Number of Cars 60 30. Consist Speed (Recorded speed if available) R. Recorded E. Estimated 47 mph Code R 31. Time Table Direction 1. North 3. East 2. South 4. West Code 1 32. Type of 1. Gates Crossing 2. Cantilever FLS WarningD.Ice 3. Standard FLS 4. Wig 5. Hwy. 6. Audible wags traffic 7. Crossbucks 10. signals 8. Stop signs 11. 9. Watchman 12. Flagged by crew Other (specify) None 33. Signaled (See reverse instructions Crossing side and codes) Warning for Code 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code A Code(s) 08 07 1 35. Location 1. 2. 3. of Warning Both Sides Side of Vehicle Approach Opposite Side of Vehicle Approach Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 37. Crossing Illuminated by Street Lights or Special Lights 1. Yes 2. No 3. Unknown Code 2 38.Hignway User's Age 29 39.Highway User's Gender 1. Male 2. Female Code 1 L0. Highway User Went Behind or in and Struck or was Struck by Second 1. Yes 2. No 3. Unknown Front of Train Train Code 2 41. Highway 1. Went 2. Stopped 3. Did 4. Stopped User around not 5. Other (specify) the gate 6. Went around/thru temporary barricade and then proceeded (if yes, see instructions) stop 7. Went thru the gate on crossing 8. Suicide/Attempted suicide Code 5 42. Driver Passed Highway 1. Yes 2. Standing Vehicle No 3. Unknown Code 2 43. View of Track Obscured 1. Permanent 2. Standing by Structure railroad equipment (primary obstruction) 3. Passing 4. Topography Train 5. Vegetation 6. Highway 7. Other Vehicles 8. Not Obstructed (specify) Code 8 Casualties to: Killed Injured 44. Driver 1. Killed was 2. Injured 3. Uninjured 3 45. Was Driver in the Vehicle? 1. Yes 2. No Code 1 46. Highway -Rail Crossing Users 0 0 47. Highway (est. Vehicle Property Damage dollar damage) $ 1,000 48. Total (including Number of Vehicle Occupants driver) 1 49. Railroad Employees 0 0 50. Total (include Number of People on Train passengers and train crew) ; 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No Code 2 52. Passengers on Train 0 0 53a. Special Study Block Video Video Taken? Used? No No 53b. Special Study Block V Yes _ Yes V 54. Narrative Description (Be specific, and continue on separate sheet if necessary) HIGHWAY USER'S ACTIONS: WENT AROUI'D THE GATE - MOVING. TRAIN STRUCK THE TRAILER PORTION OF THE TRACTOR TRAILER RIG/NO INJURIES. 55. Typed Name and Title 56. Signature 57. Date NOTE in any This report is part of the reporting railroad's accident report pursuant to the accident reports statute suit or action for damages growing put of any matter mentioned in said report...." 49 U.S.C. 20903. and, as such shall See 49 C.F.R. 225.7 not "be admitted as evidence or used for any purpose (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approved 6/6/2018, Approval expires 6/30/2021 DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIGHWAY -RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT EXHIBIT G OMB Approval No. 2130-0500 1.Name of Reporting Railroad Union Pacific Railroad Company [UP] 1a. Alphabetic Code UP lb. Railroad Accident/Incident No. 0593CH011 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident 2a. Alphabetic Code 2b. Railroad Accident/Incident No. 3. Name of Railroad or Other Entity Responsible for Track Maintenance (single entry) Union Pacific Railroad Company [UP] 3a. Alphabetic Code UP 3b. Railroad Accident/Incident No. 0593CH011 4. U.S. DOT Grade Crossing ID No. 804351W 5. Date of Accident/Incident month 0 15 12 day 1 3 year 1993 6. Time of Accident/Incident 12:47 AM ❑ PM V 7. Nearest Railroad Station LASALLE 8. Subdivision 9. County WELD 10. State Code Abbr. CO I 08 11. City (if in a city) LA SALLE 12. Highway Name or No. CR 33 Publicn Private❑ Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K Pedestrian Code B. Truck E. Van H. Motorcycle M. Other (specify) A 17. Equipment 4. Car(s) (moving) A. Train pulling- RCL 1 Train (units pulling) 5. Car(s) (standing) B. Train pushing- RCL 2. Train (units pushing) 6. Light loco(s) (moving) C. Train standina- RCL D. EMU Locomotive(s) Code 3. Train (standing) 7. Light loco(s) (standing) 8. Other (specify) E. DMU Locomotive(s) I 1 14. Vehicle Speed (est. mph at impact) 5 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 4 18. Position of Car Unit in Train 1 16. Position 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates I Code 3. Moving over crossing 3 19. Circumstance Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user I 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? Code 1. Highway User 2. Rail Equipment 3. Both 4. Neither I 4 20b. Was there a hazardous materials release by Code 1. Highway User 2. Rail Equipment 3. Both 4. Neither 20c. State here the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 70 °F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 2 23. Weather (single entry) Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow I 1 24. Type of Equipment 1. Freight Train 5. Single Car 9. Maint./inspect. car D. EMU Consist 2. Passenger Train -Pulling 6. Cut of cars A. Spec. MoW Equip. E. DMU (single entry) 3. Commuter Train -Pulling 7. Yard/Switching B. Passenger Train -Pushing Code 4. Work Train 8. Light loco(s) C. Commuter Train -Pushing I 1 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or Name SOUTH MAIN 27. FRA Track Class (1-9,X) 4 28. Number of Locomotive Units 3 29. Number of Cars 107 30. Consist Speed (Recorded speed if available) Code R. Recorded E. Estimated 46 mph I E 31. Time Table Direction Code 1. North 3. East 2. South 4. West 2 32. Type of 1. Gates 4. Wig wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning (See reverse side for instructions and codes) Code 34. Roadway Conditions A. Dry B. Wet .Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code Code(s) I 07 I 08 I I I I I 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach Code 2 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Lights or Special Lights 1. Yes 2. No 3. Unknown Code 2 38.Hignway User's Age 39.Highway User's Gender 1. Male 2. Female Code 40. Highway User Went Behind or in Front of and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Train I Code 2 41. Highway User 5. Other (specify) 1. Went around the gate 6. Went around/thru temporary barricade 2. Stopped and then proceeded (if yes, see instructions) 3. Did not stop 7. Went thru the gate 4. Stopped on crossing 8. Suicide/Attempted suicide I Code 3 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was 1. Killed 2. Injured 3. Uninjured 13 45. Was Driver in the Vehicle? Code 1. Yes 2. No 1 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage (est. dollar damage) I $6,000 48. Total Number of Vehicle Occupants (including driver) 1 49. Railroad Employees 0 0 50. Total Number of People on Train (include passengers and train crew)I 51. Is a Rail Equipment Accident / Code Incident 1 Report Being Filed o 2 . Yes 52. Passengers on Train 0 0 53a. Special Study Block Video Taken? Video Used? __ Yes Yes _ No No 53b. Special Study Block 54. Narrative Description (Be specific, and continue on separate sheet if necessary) 55. Typed Name and Title 156. Signature 157. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not "be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). FORM FRA F 6180.57 (Rev. 08/10) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approved 6/6/2018, Approval expires 6/30/2021 DEPARTMENT OF TRANSPORTATION ADMINISTRATION (FRA HIGHWAY -RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT EXHIBIT G OMB Approval No. 2130-0500 1.Name of Reporting Union Pacific Railroad Railroad Company [UP] la. Alphabetic UP Code 1 b. 1081WY202 Railroad Accident/Incident No. 2.Name of Other Amtrak (National Railroad or Other Entity Railroad Passenger Filling for Equipment Corporation) Involved [ATK] in Train Accident/Incident 2a. Alphabetic ATK Code 2b. Railroad Accident/Incident No. 100481A 3. Name of Railroad or Other Entity Union Pacific Railroad Company Responsible [UP for Track Maintenance (single entry) 3a. Alphabetic UP Code 3b. Railroad Accident/Incident No. 1081WY202 4. U.S. DOT Grade Crossing ID No. 804351W 5. Date month 1 of Accident/Incident 0 day 0 4 year 1981 6. Time of Accident/Incident 1:12 AM PM ./ 7. Nearest Railroad Station PECKHAM 8. Subdivision 9. County WELD 10. State Abbr. CO Code 08 11. City (if in a city) 12. Highway Name or No. COUNTY RD 33 Public Private V Highway Lser Involved Rail Equipment Involved C. Truck -trailer F. Bus J. Other Motor Vehicle D. Pick-up truck G. School Bus K. Pedestrian E. Van H. Motorcycle M. Other (specify) CodeD. A 17. Equipment 4. Car(s) (moving) A. Train pulling- RCL 1 Train(unitspulling)5. Car(s) (standing) B. Train pushing- RCL 6. Light loco(s) (moving) C. Train standing- RCL 2. Train (units pushing) EMU Locomotive(s) 3. Train (standing) 7. Light loco(s) (standing) 8. Other (specify) E. DMU Locomotive(s) Code 1 13. Type A. Auto B. Truck 14. Vehicle Speed (est. mph at impact) 0 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 1 18. Position of Car Unit in Train 1 16. Position 1. Stalled 2. Stopped 3. Moving or stuck on crossing 4. on Crossing 5. over crossing Trapped Blocked on crossing on crossing by traffic by gates Code 2 19. Circumstance 1. Rail equipment struck highway user 2. Rail equipment struck by highway user Code 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 4 20b. Was there a hazardous 1. Highway User materials 2. Rail Equipment release by 3. Both 4. Neither Code 20c. State here the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 70 of 22. 1. Visibility Dawn (single entry) 2. Day 3. Dusk 4. Dark Code 2 23. 1. Weather Clear (single 2. Cloudy entry) 3. Rain 4. Fog 5. Sleet 6. Snow Code 1 24. Type of Equipment 1. Freight Train Consist 2. Passenger Train -Pulling (single entry) 3. Commuter Train -Pulling 4. Work Train 5. Single 6. Cut 7. Yard/Switching 8. Light Car 9. Maint./inspect. car of cars A. Spec. MoW Equip. B. Passenger Train -Pushing loco(s) C. Commuter Train -Pushing D. EMU E. DMU Code 2 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or SINGLE MAIN Name 27. FRA Track Class (1-9,X) 4 28. Number Locomotive Units of 2 29. Number of Cars 12 30. Consist Speed R. Recorded E. Estimated (Recorded speed if available) 75 mph Code E 31. Time Table 1. North 2. South Direction 3. East 4. West Code 4 32. Type of 1. Gates 4. Wig Crossing 2. Cantilever FLS 5. Hwy. Warning 3. Standard FLS 6. Audible wags traffic signals 7. Crossbucks 10. Flagged by crew 8. Stop signs 11. Other (specify) 9. Watchman 12. None 33. Signaled Crossing Warning (See reverse side for instructions and codes) Code 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code Code(s) 07 35. Location of 1. Both Sides 2. Side of 3. Opposite Warning Vehicle Approach Side of Vehicle Approach Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated Lights or Special 1. Yes 2. by Street Lights No 3. Unknown Code 2 38.Hignway User's Age 39.Highway User's Gender 1. Male 2. Female Code 40. Highway User Went Behind or in Front of and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Train Code 2 41. Highway 1. Went 2. Stopped 3. Did 4. Stopped User 5. Other (specify) around the gate 6. Went around/thru temporary barricade and then proceeded (if yes, see instructions) not stop 7. Went thru the gate on crossing 8. Suicide/Attempted suicide Code 4 42. Driver Passed Highway 1. Yes 2. Standing Vehicle No 3. Unknown Code 2 43. View of Track Obscured 1. Permanent Structure 2. Standing railroad by (primary obstruction) 3. Passing Train equipment 4. Topography 5. Vegetation 7. Other (specify) 6. Highway Vehicles 8. Not Obstructed Code 8 Casualties to: Killed Injured 44. Driver 1. Killed was 2. Injured 3. Uninjured 3 45. 1. Was Driver in the Vehicle? Yes 2. No Code 1 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle (est. dollar damage) Property Damage $ 1,000 48. Total (including Number of Vehicle Occupants driver) 1 49. Railroad Employees 0 0 50. Total Number (include passengers of People on Train and train crew) 51. Is a Rail Equipment Accident / Incident Report Being Filed 1. Yes 2. No Code 2 52. Passengers on Train 0 0 53a. Special Study Block Video Taken? Video Used? No No 53b. Special Study Block _ Yes Yes 54. Narrative Description (Be specific, and continue on separate sheet if necessary) 55. Typed Name and Title 56. Signature 57. Date NOTE: This report is part of the reporting railroad's in any suit or action for damages growing out of accident report pursuant to any matter mentioned in said the accident reports statute and, as such report...." 49 U.S.C. 20903. See 49 C.F.R. shall not "be admitted as evidence or used for 225.7 (b). any purpose FORM FRA F 6180.57 (Rev. 08/1C) * NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approved 6/6/2018, Approval expires 6/30/2021 DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) 1.Name of Reporting Railroad Amtrak (National Railroad Passenger Corporation) [ATI(' 1a. Alphabetic Code ATK 1 b. Railroad Accident/Incident No. 100481A 2.Name of Other Railroad or Other Entity Filling for Equipment Involved in Train Accident/Incident Union Pacific Railroad Company [UP] 2a. Alphabetic Code UP 2b. Railroad Accident/Incident No. 1081WY202 3. Name of Railroad or Other Entity Responsible for Track Maintenance (single entry) Union Pacific Railroad Company [UP] 3a. Alphabetic Code Up 3b. Railroad Accident/Incident No. 1081WY202 4. U.S. DOT Grade Crossing ID No. 804351W 5. Date of Accident/Incident month 1 I 0 I day 0 1 4 year 1981 6. Time of Accident/Incident 1:12 AM ❑ PM V 7. Nearest Railroad Station PECKHAM 8. Subdivision 9. County WELD 10. State Code Abbr. CO I 08 11. City (if in a city) PECKHAM 112. Highway Name or No. COUNTY ROAD 33 Public n Private ri Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer F. Bus J. Other Motor Vehicle A. Auto D. Pick-up truck G. School Bus K. Pedestrian CodeD. B. Truck E. Van H. Motorcycle M. Other (specify) A 17. Equipment 4. Car(s) (moving) A. Train pulling- RCL 1 Train (units pulling) 5. Car(s) (standing) B. Train pushing- RCL 2, Train (units pushing) 6. Light loco(s) (moving) C. Train standing- RCL Code EMU Locomotive(s) 3. Train (standing) 7. Light loco(s) (standing) 8. Other (specify) E. DMU Locomotive(s) I 1 14. Vehicle Speed (est. mph at impact) 0 15. Direction (geographical) Code 1. North 2. South 3. East 4. West I 1 18. Position of Car Unit in Train 1 16. Position 1. Stalled or stuck on crossing 4. Trapped on crossing by traffic 2. Stopped on Crossing 5. Blocked on crossing by gates Code 3. Moving over crossing I 2 19. Circumstance Code 1. Rail equipment struck highway user 2. Rail equipment struck by highway user I 1 20a. Was the highway user and/or rail equipment involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment 3. Both 4. Neither Code 4 20b. Was there a hazardous materials release by Code 1. Highway User 2. Rail Equipment 3. Both 4. Neither I 20c. State here the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 70 °F 22. Visibility (single entry) Code 1. Dawn 2. Day 3. Dusk 4. Dark I 2 23. Weather (single entry) Code 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow I 1 24. Type of Equipment 1. Freight Train 5. Single Car 9. Maint./inspect. car D. EMU Consist 2. Passenger Train -Pulling 6. Cut of cars A. Spec. MoW Equip. E. DMU (single entry) 3. Commuter Train -Pulling 7. Yard/Switching B. Passenger Train -Pushing Code 4. Work Train 8. Light loco(s) C. Commuter Train -Pushing I 2 25. Track Type Used by Rail Equipment Involved 1. Main 2. Yard 3. Siding 4. Industry Code 1 26. Track Number or Name SINGLE MAIN 27. FRA Track Class (1-9,X) 4 28. Number of Locomotive Units 2 29. Number of Cars 12 30. Consist Speed (Recorded speed if available) Code R. Recorded E. Estimated 75 mph I E 31. Time Table Direction 1. North 3. East 2. South 4. West Code 4 32. Type of 1. Gates 4. Wig wags 7. Crossbucks 10. Flagged by crew Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None 33. Signaled Crossing Warning (See reverse side for instructions and codes) Code I 34. Roadway Conditions A. Dry B. Wet C.Snow/Slush D.Ice E. Sand,Mud,Dirt,Oil,Gravel F.Water (Standing, Moving ) Code Code(s) I 07 I I I I 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 2 37. Crossing Illuminated by Street Lights or Special Lights 1. Yes 2. No 3. Unknown Code 2 38.Hignway User's Age 39.Highway User's Gender 1. Male 2. Female Code 40. Highway User Went Behind or in Front of and Struck or was Struck by Second Train 1. Yes 2. No 3. Unknown Train Code 2 41. Highway User 5. Other (specify) 1. Went around the gate 6. Went around/thru temporary barricade 2. Stopped and then proceeded (if yes, see instructions) 3. Did not stop 7. Went thru the gateI 4. Stopped on crossing 8. Suicide/Attempted suicide Code 4 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) Code 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed I 8 Casualties to: Killed Injured 44. Driver was 1. Killed 2. Injured 3. Uninjured 13 45. Was Driver in the Vehicle? Code 1. Yes 2. No I 1 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage (est. dollar damage) I $1,000 48. Total Number of Vehicle Occupants (including driver) 0 49. Railroad Employees 0 0 50. Total Number cf People on Train (include passergers and train crew) I 51. Is a Rail Equipment Accident / Code I, cide t 2ep ort Being Filed I 2 . Yes 52. Passengers on Train 0 0 53a. Special Study Block Video Taken? Video Used? _ Yes Yes _ No No 53b. Special Study Block 54. Narrative Description (Be specific, and continue on separate sheet if necessary) 55. Typed Name and Title 156. Signature 157. Date NOTE: This report is part of the reporting railroad's accident report pursuant to the accident reports statute and, as such shall not "be admitted as evidence or used for any purpose in any suit or action for damages growing out of any matter mentioned in said report...." 49 U.S.C. 20903. See 49 C.F.R. 225.7 (b). HIGHWAY -RAIL GRADE CROSSING ACCIDENT/INCIDENT REPORT EXHIBIT G OMB Approval No. 2130-0500 FORM FRA F 6180.57 (Rev. 08/10) NOTE THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A OMB approved 6/6/2018, Approval expires 6/30/2021 EXHIBIT H DEPARTMENT OF TRANSPORTATION FEDERAL RAILROAD ADMINISTRATION (FRA) HIGHWAY-RAII fRADF CROSSING ACCIDENT/INCIDENT REPORT OMB Approval No. 2130-0500 Name Of Alphabetic Code RR Accident/Incident No. 1. Reporting Railroad Union Pacific Railroad Company [UP] la. Up lb. 0390CH207 2. Other Railroad Involved in Train Accident/Incident 2a. 2b. 3. Railroad Responsible for Track Maintenance Union Pacific Railroad Company [UP] 3a. UP 3b. 0390C1 -I207 4. U.S. DOT-AAR Grade Crossing ID No. 804354S 5. Date of Accident/Incident 03/21/90 6. Time of Accident/Incident 07:55 PM 7. Nearest Railroad Station PLATTEVILLE 8. Division 9. County WELD 10. State Abbr. 08 Code CO 11. City (if in a city) PLATTEVILLE 12. Highway Name or No. COUNTY RD 35 & 46 Public Private V Highway User Involved Rail Equipment Involved 13. Type C. Truck -trailer A. Auto D. Pick-up B. Truck E. Van F. Bus J. Other Motor Vehicle truck G. School Bus K Pedestrian H. Motorcycle N. Other (specify) Code A 17. Equipment 4. Car(s) (moving) 8. Other (specify) 1. Train (units pulling) 5. Car(s) (standing) A. Train pulling- RCL 2. Train (units pushing) 6. Light loco(s) (moving) B. Train pushing- RCL 3. Train (standing) 7. Light loco(s) (standing) C. Train standing- RCL Code 1 14. Vehicle Speed (est. mph at impact) 0 15. Direction (geographical) 1. North 2. South 3. East 4. West Code 4 18. Position of Car Unit in Train 1 16. Position 1. Stalled on crossing 3. Movi ig over crossing 2. Stopped on Crossing 4. Trap Jed Code I 2 19. Circumstance 1. 2. Rail equipment struck highway user Rail equipment struck by highway user Code I 1 20a. Was the highway user and/or rail equipmrit involved in the impact transporting hazardous materials? 1. Highway User 2. Rail Equipment J. Both 4. Neither Code 2 20b. Was 1. there a hazardous materials release by Highway User 2. Rail Equipment 3. Both 4. Neither Code 20c. State the name and quantity of the hazardous material released, if any 21. Temperature (specify if minus) 30 o f 22. Visibility 1. Dawn 2. (s ngle [My entry) 3. Dusk 4. Dark Code 4 23. Weather (single entry) 1. Clear 2. Cloudy 3. Rain 4. Fog 5. Sleet 6. Snow Code 1 24. Type of Equipment A. Spec. MoW Consist 1. Freight train 4. Work trair 7. Yard/Switching (single entry) 2. Passenger train 5. Single car 8. Light loco(s) 3. Commuter train 6. Cut of can 9. Main./inspect. car Equip Code 1 25. Track Type Used Equipment Involved 1. Main 2. Yard by Rail 3. Siding 4. Industry Code 1 26. Track Number or Name MAIN LINE 27. FRA Track Class 4 28. Number of Locomotive Units 5 29 Number of Cars 27 30. Consist Speed R. Recorded E. Estimated (Recorded if available) O mph Code E 31. Time Table Direction 1. North 2. South 3. East 4. West Code 2 32. Type of 1. Gates 4. Wig wags 7. Crossbucks 10. Flagged Crossing 2. Cantilever FLS 5. Hwy. traffic signals 8. Stop signs 11. Other (specify) Warning 3. Standard FLS 6. Audible 9. Watchman 12. None by crew 33. Signaled Crossing Warning 34. Whistle Ban 1. Yes 2. No 3. Unknown Code Code(s) 07 08 35. Location of Warning 1. Both Sides 2. Side of Vehicle Approach 3. Opposite Side of Vehicle Approach Code 1 36. Crossing Warning Interconnected with Highway Signals 1. Yes 2. No 3. Unknown Code 37. Crossing Illuminated by Street Lights or Special Lights 1. Yes 2. No 3. Unknown Code 2 38. Driver's Age 39. Driver's Gender 1. Male 2. Female Code 40. Driver Drove Behind or in Front of Train and Struck or was Struck by Second Train . Yes 2. No 3. Unknown Code 2 41. Driver 1. Drove around or thru the gate 4. Stopped on crossing 2. Stopped and then proceeded 5. Other (specify) 3. Did not stop Code 4 42. Driver Passed Standing Highway Vehicle 1. Yes 2. No 3. Unknown Code 2 43. View of Track Obscured by (primary obstruction) 1. Permanent Structure 3. Passing Train 5. Vegetation 7. Other (specify) 2. Standing railroad equipment 4. Topography 6. Highway Vehicles 8. Not Obstructed Code 8 Casualties to: Killed Injured 44. Driver was 1. Killed 2. Injured 3. Uninjured Code 3 45. Was Driver in the Vehicle? 1. Yes 2. No Code 1 46. Highway -Rail Crossing Users 0 0 47. Highway Vehicle Property Damage (est. dollar damage) $5,000 48. Total Number of (include driver) Highway -Rail Crossing Users 1 49. Railroad Employees 0 0 50. (include Total Number of People on Train passengers and crew) 51. Is Incident a Rail Equipment Accident / Report Being Filed 1. Yes 2. No Code 2 52. Passengers on Train 0 0 53a. Special Study Block 53b. Special Study Block 54. Narrative Description 55. Typed Name and Title 56. Signature 57. Date FORM FRA F 6180.57 * NO Lt= THAT ALL CASUALTIES MUST BE REPORTED ON FORM FRA F 6180.55A EXHIBIT I C a+ V. 0 z -J a a v Cc V L O O in tn N N C 3 a a C a, y d O 0 n M N N a V Q a ` Ft 0 xpou 0 a V o" N J N Wm n N O N• CO. "off Know what's below Call beforeyou ma NOTES: 1. CONCRETE BARRIERS SHALL BE OFFSET A MINIMUM OF 25 FEET FROM NEAREST RAIL. 2. FIXED BARRICADES SHALL BE OFFSET AN ADDITIONAL 5 FEET FROM THE CONCRETE BARRIERS (AWAY FROM THE TRACKS). 3. WORK WITHIN RAILROAD RIGHT-OF-WAY REQUIRES RIGHT OF ENTRY FROM UPRR. 4. WORK WITHIN 25 FEET OF TRACK REQUIRES FLAGGER FROM UPRR OR APPROVED CONTRACTOR. 5. AREAS WHERE APPROACH PAVEMENT/MATERIAL HAS BEEN REMOVED SHALL BE GRADED AND FINALLY STABILIZED PER UPRR REQUIREMENTS. 6. CROSSING MATERIAL, CROSSBUCKS, RAILROAD GATES, AND SIGNAL BUNGALOWS, WHERE PRESENT, SHALL BE REMOVED BY UPRR FORCES. WCR 44 • , o a. f=u r h...xr~w.Wlrvaz+.-nom :a ,. ra.,.: • �� • tiy4is .. ,n• N ' •.,i: • ., :1 • • 44 .tf • 9 a f llf f• INSTALL _20 LF OF CONCRETE BARRIER (TEMPORARY)_. AND OBJECT MARKERS OM4-1) (3 EA) _ r v INSTALL PERMANENT BARRICADE (TYPE 3 F -B)• WITH Wl-6 stqN i1.9gre,. _.a(SEE BARRICADE DETAIL 3) 7 7 ►1 t'4 � qt A A 1 F -.)i- 1//fl i'i-` ,11, fpm:. • Sheet Revisions REMOVAL OF ASPHALT (1356 SY) tit REMOVAL OF CROSSBUCKS,*c,� GATES, AND SIGNAL BUNGALOWS' N,4 (BY UPPR)��, J :. N r REMOVE GROUND SIGN APPDXIMATE UPRR ROW LINE (TYP) > V • REMOVAL OF CR0SSBUCKS, GATES, AND SIGNAL BUNGALOWS (RY cl JPPR) INSTALL PERMANENT op :BARRICADE (TYPE 3 F -B) WITH R11-2 "ROAD CLOSED" SIGN (SEE BARRICADE DETAIL 2 INSTALL 20 LF OF CONCRETE BARRIER (TEMPORARY) AND OBJECT MARKERS (0M4-1) (3 EA) 4 • N 0' 100' 200' 4 N 400' Print Date: 12/18/2019 File Name: 223370DES_WCR 44-PLN01.dgn Horiz. Scale: 1:200 Vert. Scale: As Noted FELSBURG 0 HOLT LT & ULLEVIG 6300 South Syracuse Way, Suite 600 Centennial, CO 80111 Phone: 303.721.1440 www.FHUENG.com ( ) Date: Comments Init. Colorado Deportment of Transportation Region 4 10601 West 10th Street Greeley, CO 80634 Phone: 970-350-2228 FAX: 970-350-2181 LK As Constructed No Revisions: WELD COUNTY ROAD CLOSURES WCR 44 CLOSURE PLAN WORK TO BE DONE BY COOT Project No./Code NHPP 0853-108 Revised: Designer: MOM Void: Detoiler: DAT Structure Numbers 22370 Sheet Subset: ROADWAY Subset Sheets: PL -01 of 02 Sheet Number EXHIBIT I C I) 0 I ut w 0 0 n M N N N C C O O C O, y V 0 0 n M N �� . o ' 0 x Oo V 0 9 •-•Wo 0 al Li • Om PE CO In N o KnowwhaIs het Call before you dig. // ,cb / JG' /C,(b / / i / / / 5' CLEAR ZONE LINE / WCR 44 CROSSING DETAIL / CO, 114b -get EDGE OF TRAVELED WAY INSTALL 2O LF OF CONCRETE ' BARRIER (TEMPORARY) AND OBJECT MARKERS (OM4-1) (3 EA) 158' INSTALL PERMANENT BARRICADE (TYPE 3 F -B) WITH W1-6 SIGN (SEE BARRICADE DETAIL 3) INSTALL PERMANENT BARRICADE (TYPE 3 F -B) (2 EA) WITH Rt1-2 "ROAD CLOSED" SIGN (SEE BARRICADE DETAIL 2) 295' / INSTALL 2O LF OF CONCRETE BARRIER (TEMPORARY) AND OBJECT MARKERS (OM4-1) (3 EA) / / / / APPROXIMATE UPPR ROW LINE (TYP) / / WCR 44 0' 30' 60' 1z0' Print Dote: 12/18/2O19 File Name: 2237ODES_Det44.dgn Horiz. Scale: 1:6O Vert. Scale: As Noted pin FELSBURG LqHoL-r & ULLEVIG 6300 South Syracuse Way, Suite 600 Centennial, CO 801 1 1 Phone: 303.721.1440 www.FHUENG.com C ) C ) C ) ) Sheet Revisions Dote: Comments Init. Colorado Department of Transportation 1O6O1 West 1Oth Street Greeley, CD 8O634 Phone: 97O -35O-2228 FAX: 97O -35O-2181 Region 4 LK As Constructed No Revisions: WELD COUNTY ROAD CLOSURES WCR 44 CROSSING DETAIL Project No./Code NHPP O853 -1O8 Revised: Designer: MBM Void: Detailer: DAT Structure Numbers 2237O Sheet Subset: DETAILS Subset Sheets: DT -01 of 01 Sheet Number EXHIBIT I D d N 0 C N v 0 Ui w 0 O n N N U, a c 3 0 0 a N v 0 0 N N ov 0 p o U o 11.1 NI 0 x Z OOOC 0 0 OM4-1 (3 EA) Knew what's 00 0 0 0 below � 0 0 24' call bainmynu dig. ; 0' 0 0 0N. 0 0 0;> -.� 0 O ROAD CL0SED R11-2 X0000 , i I �_I W I-7 to 0 0 0 I I i ti FIXED DETAIL ., CONCRETE u, SEE S-630-2 FOR BARRIER (TEMP.) �'////"//////// \ \\\`\\\'\ -ire/ (SEE M -6O6-14) MOVABLE SKIDS 6'6" MAX . „I \ X5'0" MIN FIXED TYPE 3 BARRICADE (RED) '� ' \ /�� ` �, _ir LOCATION QTY LENGTH SEE DETAIL z WCR 33 (WEST) WCR 33 (EAST) 1 1 24' 24' 3 2 . ' / : .' WCR 44 (WEST) WCR 44 (EAST) 1 1 24' 24' 2 2 DETAIL 1 CONCRETE BARRIER (I LMYURARY) INTERSECTION TYPE NOTES: 1. SEE TABULATION OF SIGNS FOR INFORMATION REGARDING OBJECT MARKERS (OM4-1) 24' 24' 2. SIGNS TO BE BUILT [N ACCORDANCE WITH THE MUTCD ROAD AND STD. S-630-2 ROAD R11 -z � CLOSEDRh - -2 CLOSED '///%/'mil/✓= 3. SEE S-630-2 FOR ADDITIONAL NOTES REGARDING FIXED/�///"//'//r`° Co AND MOVABLE BARRICADES ' +NMI W1-6 l Eo =- ^ z > 1 FIXED DETAIL oo in FIXED DETAIL ' ' ' ' to SEE S-630-2 FOR►\1\\\\:\\\.\:\\-%i///1/./•/%>//:/:I in . SEE S-630-2 FOR MOVABLE SKIDS �,��/�J•�//��/��//� ,"/'', X6'6" MAX MOVABLE SKIDS 6 MAXI 5'0" MIN- �6 5'0" MIN 4 / \ �/ /j / 5 O M \//\ /��\// \ / DETAIL I fro 5 O 2 •/\\/ DETAIL 3 DEAD END TYPE LEFT TURN ONLY TYPE Print Dote: 12/5/2019 C C CLD ® ® Sheet Revisions ' Colorado Department of Transportation As Constructed WELD COUNTY ROAD CLOSURES BARRICADE AND BARRIER DETAIL Project No./Code File Nome: 22370DES_Det2_Grou 2A.d n P 9 Dote: Comments Init. No Revisions: NHPP 0853-108 Horiz. Scale: 1:60 Vert. Scale: As Noted CD'OT_' W Region 4 10601 West 10th Street Greeley, CO 80634 Phone: 970-350-2228 FAX: 970-350-2181 LK ®� FELSBURG 6300 South Syracuse Way, Suite 600 Centennial, CO 440 d®HOLT & Centennial, 2 801 ULLEVIG www.FHUENG.com Revised: Designer: MBM Structure 22370 Detoiler: DAT Numbers Void: Sheet Number Sheet Subset: DETAILS Subset Sheets: DT -02 of 02 EXHIBIT J 30" Notice of Proposed Closing of This Crossing An application to close and remove the roadway, but leave the railroad tracks open at this crossing has been filed with the Colorado Public Utilities Commission. Commission Address: 1560 Broadwy, Suite 250 Denver, CO 80202 Date of crossing closure requested: XX!XX!2021 U.S. DOT National Crossing Inventory Number: X04-352 Proceeding No. 21A-XXXR ParUes have the right to file written intervention or objection with the Commission at the address stated above. Please include Proceeding No. 21A-XXXR. All written interventions or objections must be filed with the Commission by no later than 2021. Month day, New Contracta t. Entity Info rn Entity Name: COLORADO D EPA RT TRANSPORTATION I I Contract t Status I CTS REVS I I I N I N MENT 0 F Contract N me * PUC APPLICATION WCR 44 (PEC K H AM) Entity D. r 00 .0034 1 3 Contract ID 471q Contract Lead* ERELFORD I New : Enti Contract Lead Email e1 e' f..}`rd@c.omeldac +'ous Parent Contract ct D Requires VES Boar( Approval Dep4anment Project I Contract Description* THIS APPLICATION AUTHORIZES CDOT PERFORM C.••. 44 PUBLIC CROSSING CLOSURE 85 AND WCR 44 AT THEIR CST. Contract Description 2 Contract T,3p.... APPLICATION .m u t . $199100000 Renewab AutomaticRenewal Grant I ; Denment :PUBLIC . WORKS " • partment Email CM - Pubicwo.rksSwe daovacorn NO Requested CC A en .a Due :te Date* 04/24/202 04,128/202 Departsnent Head mai l CM-.Pu. cWor::s- Dep•th'e ad uwe I d I v:.cod County Attorney BOB CHOATE County Attorney Email BCHOATEPCOMELD,CO0US It this is a renewal. rene a . enter previous Contract ID If this is pan of a IVSA :enter !ISA. Cm-tractCm-tract I Will a worksessionWith BOCC be required?* Does Contract require Purchasing NO: Dept. to be inc uded? ? Note: the Previous Contract umber and eater Services Agreement Number should be left. blank if those contracts are not in On Base Contract Date.s Effective Date: Termination Notice c Period E x: ' �tIo Date Committed Del ive Date Review Date* Ken ewa �. 7312022 Date I I k k 04/8 11 Contact inform;t n k Contact info Contact Name. Purchasing Purchasing .Approver Approval Process Demenu ad JAY MCDONALD ALD DH Apis o&af ed Date :.2€5 /202.1 Final provai BOCC Approved BOCC Signed BOCC AgendaD ate 04/2872021 Originator ERELFORO Contact act Tye Contact Email Finance Approver BARB CONNOLLY -Contact Mane I Purchasing Approved Date. Finance proved Date 04/27/2021 -TylerRe AG 042821 Legal Counsel Boa CHOATE T . Lg. Ciat COUrise Contact Phone .2 Approved Date \ \\WV \ \\\ \ A%,\\\ \ \\ \ Hello