Wisconsin Department of Transportation
                                                                                                                                                                                                                                                                        Division of Transportation Investment Management
                                                                                                                                                                                                                                                                        Bureau of Transit, Local Roads, Railroads & Harbors
                                                                                                                                                                                                                                                                        PO Box 7914
                                                                                                                                                                                                                                                                        Madison, WI  53707-7914
                           CERTIFICATE OF COORDINATION OF RAILROAD
                           WORK WITH HIGHWAY CONSTRUCTION
                           DT1804     4/2009
                           TO:                        Federal Highway Administration
                                                      Wisconsin Division                                                                                                                                                                                                  Current Date
                                                      525 Junction Road, Suite 8000                                                                                                                                                                                            
                                                      Madison, WI 53717-2157
                           Letting Date
                                
                                                                                                                                                                                                   Project ID
                                                                                                                                                                                                        
                                                                                                                                                                                                   Project
                                                                                                                                                                                                        
                                                                                                                                                                                                        
                                                                                                                                                                                                        
                                                                                                                                                                                                        
                                                                                                                                                                                                        
                           In accordance with the Code of Federal Regulations 23, Part 635, Subpart C - Physical Construction 
                           Authorization, we certify that arrangements for the following work affecting the subject contract have been 
                           completed as required for proper coordination with the physical construction schedules:
                                       Railroad facilities
                                       No railroad facilities
                           Arrangements have been made for insurance protection and/or adjustment of railroad facilities and/or 
                           acquisition of railroad land interests as required by Code of Federal Regulations 23, Part 646, Subpart A – 
                           Railroad Highway Insurance Protection, Subpart B – Railroad Highway Projects, Part 710, Subpart B - State 
                           Highway Department Responsibilities and such policies and practices as agreed to between the Department 
                           and the Federal Highway Administration.
                           Comments:
                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                           (Railroad Project Coordination Engineer – Brush Script Font)