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NORFOLK SOUTHERN RAILWAY COMPANY <br /> ACKNOWLEDGMENT FORM FOR WIRE AND/OR PIPE OCCUPATION <br /> WITHIN THE LIMITS OF A PUBLIC RIGHT OF WAY. <br /> APPLICANT: CITY OF DECATUR <br /> 1 Gary K Anderson Plz <br /> Decatur, Illinois 62523 <br /> SUBJECT: Decatur, Macon County, Illinois <br /> Milepost D-375.09, Peru-Decatur , Midwest Division <br /> Latitude 39.8478, Longitude -88.9405 <br /> Norfolk Southern Activity No. 1339414 <br /> Proposed CIPP Lining of an existing transverse 36" RCP sewer line wholly within <br /> the public right of way of N. Jasper Street (DOT #479184D) (collectively, the <br /> "Facilities") <br /> In response to Applicant's submittal dated July 10, 2026, regarding the proposed construction of the subject <br /> project, Norfolk Southern Railway Company ("Railway") does not object to the installation of the Facilities <br /> as shown on the attached Drawing marked Exhibit"A", dated August 03, 2026, provided Applicant adheres <br /> to the following terms and conditions: <br /> • The Facilities shall be installed, constructed, maintained, repaired, operated and removed by and at <br /> the sole risk, cost and expense of the Applicant, (collectively, "Operate" or"Operations"). <br /> • The Facilities must conform with all Federal, State and local laws, rules and regulations and will not be <br /> attached to any railroad structure or appurtenance and will not be located on any private property of <br /> Railway. <br /> • The design and construction of aerial Facilities shall comply with Railway's NSCE-4 Specification, latest <br /> edition, and underground Facilities shall comply with Railway's NSCE-8 Specification, latest edition. <br /> • Insurance <br /> (a) Insurance Requirements. Without limiting in any manner the liability and obligations <br /> assumed by Applicant under any other provision of this Agreement, and as additional protection to Railway, <br /> Applicant shall comply with the following provisions: <br /> (i) Subject to subsection (ii)below, upon execution of this Agreement, Applicant shall <br /> pay Railway a risk financing fee of$1,950(the"Risk Financing Fee")to provide Railroad Protective <br /> Liability Insurance or such supplemental insurance (which may be self-insurance) as Railway, in <br /> its sole discretion, deems to be necessary or appropriate with respect to the initial construction <br /> and installation of the Facilities. <br /> (ii) Prior to commencement of each Operations project that requires access to the <br /> Premises, unless Railway elects to make available and Applicant pays the then-current Risk <br /> Financing Fee for a given Operations project, Applicant shall furnish Railway with an original <br /> Railroad Protective Liability ("RPL") Insurance Policy naming Railway as the named insured and <br /> having a limit of (1) not less than a combined single limit of $2,000,000 each occurrence and <br /> $6,000,000 aggregate, or(2) if the value of a given operations project exceeds$500,000, not less <br /> than a combined single limit of $5,000,000 per occurrence and $10.000,000 in the aggregate. <br /> Each RPL policy shall conform to CG 00 35 04 13 or equivalent and include coverage for Terrorism <br /> and the Physical Damage to Property Endorsement and shall name Norfolk Southern Corporation <br /> and its affiliates and subsidiaries as the insured. Applicant shall ensure that the project location, <br /> Applicant identification and work description appear on the declaration pages of a given RPL <br /> policy. Applicant shall provide an electronic copy of each RPL policy (and not merely the binder) <br /> to Railway at s.permittinq(cr�railpros.com for review and approval prior to commencing any work <br /> on the associated Operations project. Applicant may submit inquiries about RPL issues at <br /> ns.permittinqarailpros.com. <br />